Individual
DR. LUIS ANDRES GOMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
125 NE 8TH ST, SUITE # 1, HOMESTEAD, FL 33030-4676
(786) 243-2438
(305) 247-5744
Mailing address
125 NE 8TH ST, SUITE # 1, HOMESTEAD, FL 33030-4676
(786) 243-2438
(305) 247-5744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0013322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074957500
—
FL
05
—
074957501
—
FL
05
—
074957502
—
FL
Enumeration date
08/09/2006
Last updated
07/09/2007
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