Individual
DR. ANA LINA GONZALEZ CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2201 NW CORPORATE BLVD STE 103, BOCA RATON, FL 33431-7337
(561) 347-7006
Mailing address
224 THREE ISLANDS BLVD APT 205, HALLANDALE BEACH, FL 33009-7326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN22931
FL
1223P0221X
Pediatric Dentistry
Primary
DN22931
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022980900
—
FL
Enumeration date
01/28/2016
Last updated
11/09/2020
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