Kelly Gonzalez, DMD

NPI #1952717027 in Sunrise, Florida

Provider Information

NPI Number: 1952717027
Entity Type: Individual
Name: Kelly Gonzalez, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 9, 2014
Last Updated: Apr 30, 2019

Practice Location

Address: 12801 W SUNRISE BLVD
Address 2: F222
City: Sunrise
State: Florida
ZIP Code: 33323-4020
Phone: (954) 846-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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