Individual
YISEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
7340 W WATERS AVE, TAMPA, FL 33634-2222
(813) 886-1800
Mailing address
11907 HICKORYNUT DR, TAMPA, FL 33625-5653
(813) 455-6335
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH27839
FL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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