Individual
LUIS ENRIQUE GONZALEZ JUNCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5190 NW 167TH ST STE 109, MIAMI LAKES, FL 33014-6329
(786) 507-3458
(954) 953-1417
Mailing address
8854 W FLAGLER ST APT 101, MIAMI, FL 33174-2497
(786) 370-7989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24104
FL
Other
Enumeration date
06/12/2019
Last updated
11/30/2020
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