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General NPI Number Information
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NPI Number | 1740121276
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Entity Type | Organization
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Legal Business Name | GY DENTAL LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 224 S OLD DIXIE HWY STE 2
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City | JUPITER
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State | FL
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Zip | 33458-7487
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Country | US
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Telephone | 561-748-4488
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Fax | 561-748-7849
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Provider Business Mailing Address
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Address Line | 224 S OLD DIXIE HWY STE 2
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City | JUPITER
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State | FL
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Zip | 33458-7487
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Country | US
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Telephone | 561-748-4488
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Fax | 561-748-7849
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Authorized Official
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Title or Position | OWNER/ DENTIST PROVIDER
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Name | DR. ADONIS GONZALEZ YERA
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Credential | DMD
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Telephone | 786-709-8378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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