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Dr. Patricia Consuelo Gonzalez, DMD

Dentist in Leesburg, FL. Individual provider (NPI-1).

NPI number1760633739
StatusActive
Last updated in NPPESNov 6, 2018

Details

NPI
1760633739
Entity type
Individual (NPI-1)
Name
Dr. Patricia Consuelo Gonzalez
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2008
Last updated
Nov 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN19362FLYes
122300000X Dentist2818PR

Practice location

225 N 1st St
Leesburg, FL 34748-5150

Phone 407-905-8827 · Fax 352-360-2389

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546

Phone 407-905-8827 · Fax 407-905-8998

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