Organization
DENTAL AMERICAN GROUP CORP
Active
Other names
Dental American Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN GONZALEZ D.D.S. (OWNER)
(305) 556-6100
Entity
Organization
Contact information
Practice address
1573 W 49 ST, HIALEAH, FL 33012-2924
(305) 556-6100
(305) 556-4799
Mailing address
1573 W 49 ST, HIALEAH, FL 33012-2924
(305) 556-6100
(305) 556-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12593
FL
Other
Enumeration date
09/13/2006
Last updated
01/20/2012
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