Individual
DR. JOVANI MIGUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3600 SW 163RD AVE, MIRAMAR, FL 33027
(954) 394-8176
Mailing address
3600 SW 163RD AVE, MIRAMAR, FL 33027-4510
(954) 394-8176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23653
FL
Other
Enumeration date
07/19/2018
Last updated
09/06/2018
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