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Individual

DAVID ENRIQUE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 NW 16TH ST RM A2ND, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
5401 COLLINS AVE APT 1432, MIAMI BEACH, FL 33140-2502
(305) 498-6652

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25411
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2020
Last updated
05/06/2021
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