Lysette M Gonzales Perez Dmd Llc | |
19151 S Dixie Hwy Ste 206 Cutler Bay FL 33157-7729 | |
(305) 256-1303 | |
Not Available |
Full Name | Lysette M Gonzales Perez Dmd Llc |
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Speciality | Dentist |
Location | 19151 S Dixie Hwy Ste 206, Cutler Bay, Florida |
Authorized Official Name and Position | Lysette M Gonzalez Perez (OWNER) |
Authorized Official Contact | 7879345696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lysette M Gonzales Perez Dmd Llc 19151 S Dixie Hwy Ste 206 Cutler Bay FL 33157-7729 Ph: (305) 256-1303 | Lysette M Gonzales Perez Dmd Llc 19151 S Dixie Hwy Ste 206 Cutler Bay FL 33157-7729 Ph: (305) 256-1303 |
NPI Number | 1588288518 |
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Provider Enumeration Date | 06/05/2020 |
Last Update Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588288518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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