Individual
JACQUELINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1855 US 27, SEBRING, FL 33870-1961
(863) 612-1060
Mailing address
1855 US 27, SEBRING, FL 33870-1961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30567
FL
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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