NPI 1093188856

Gonzalez Dental Lab

Organisation Dental Laboratory Miami, FL

Practice location

Address: 921 SW 122nd Ave, Miami, FL 33184-2477
Phone: (305) 975-1292
Mailing address: 1065 NW 129th Ave, Miami, FL 33182-2324

Authorised official

Name: Pedro P Gonzalez
Title: Owner
Phone: (305) 975-1292

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence DL 11401 (FL)

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Registry record

NPI: 1093188856
Entity type: Organization
NPI issued: 2 Nov 2015
Record last updated: 2 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.