Organization
IMG DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVETH MAGALY GONZALEZ DDS (MANAGER)
(512) 762-0381
Entity
Organization
Contact information
Practice address
780 WEST AVE, COCOA, FL 32927-4991
(321) 631-5600
Mailing address
780 WEST AVE, COCOA, FL 32927-4991
(321) 631-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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