Individual
MR. CARLOS L GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1127 NW 22ND AVE, MIAMI, FL 33125-2738
(305) 649-6112
(305) 649-1803
Mailing address
418 MONACO DR, PUNTA GORDA, FL 33950-7842
(305) 649-6112
(305) 649-1803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13073
FL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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