Organization
ELENA M SOLIS GONZALEZ DMD LLC
Active
Parent organization
ELENA M SOLIS GONZALEZ DMD LLC
Other names
RENAISSANCE DENTAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELENA M SOLIS GONZALEZ DMD LLC
Authorized official
DR. ELENA M SOLIS GONZALEZ DMD (OWNER)
(561) 267-0906
Entity
Organization
Contact information
Practice address
12002 SW 128TH CT STE 210, MIAMI, FL 33186-4643
(786) 776-3328
Mailing address
12002 SW 128TH CT STE 210, MIAMI, FL 33186-4643
(786) 776-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20240
FL
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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