Individual
ERNESTO GONZALEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 N FEDERAL HWY STE 210, HALLANDALE BEACH, FL 33009-2451
(954) 998-2099
Mailing address
107 SARTO AVE, CORAL GABLES, FL 33134-7247
(786) 317-3321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23004
FL
Other
Enumeration date
03/13/2015
Last updated
10/03/2024
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