| 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 |
|---|---|
| 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 |
|---|---|
| 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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