Individual
DR. NATHANIEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10700 FRANCE AVE S STE 102, BLOOMINGTON, MN 55431-3693
(952) 679-3531
Mailing address
9503 NE 2ND AVE, MIAMI SHORES, FL 33138-2704
(786) 310-4816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23881
FL
Other
Enumeration date
06/02/2016
Last updated
10/14/2024
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