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Individual

KELLY GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9640 STIRLING RD UNIT 101, HOLLYWOOD, FL 33024-8085
(954) 400-0900
(954) 947-3900
Mailing address
9640 STIRLING RD UNIT 101, HOLLYWOOD, FL 33024-8085
(954) 400-0900
(954) 947-3900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20710
FL
1223G0001X
General Practice Dentistry
DN20170
FL

Other

Enumeration date
07/09/2014
Last updated
08/06/2026
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