Organization
JHEZANUEL GONCALVES, D.M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JHEZANUEL GONCALVES CORDERO DMD (PRESIDENT)
(954) 669-1091
Entity
Organization
Contact information
Practice address
2863 EXECUTIVE PARK DR STE 101, WESTON, FL 33331-3647
(787) 531-5995
Mailing address
2863 EXECUTIVE PARK DR STE 101, WESTON, FL 33331-3647
(954) 660-1091
(954) 669-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
05/06/2022
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