Individual
ERNESTO LEANDRO BRAVO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 SHERIDAN ST STE A1, HOLLYWOOD, FL 33021-3416
(954) 966-1166
Mailing address
5710 ATLANTA ST, HOLLYWOOD, FL 33021-2717
(781) 990-6564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25161
FL
Other
Enumeration date
03/12/2018
Last updated
05/24/2022
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