Organization
COUNTY DENTAL CORP.
Active
Other names
Dental American Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN GONZALEZ D.D.S. (OWNER)
(954) 447-0400
Entity
Organization
Contact information
Practice address
10271 PINES BLVD, PEMBROKE PINES, FL 33026-6008
(954) 447-0400
(954) 447-0450
Mailing address
10271 PINES BLVD, PEMBROKE PINES, FL 33026-6008
(954) 447-0400
(954) 447-0450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12593
FL
Other
Enumeration date
09/13/2006
Last updated
03/15/2012
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