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NPI Code Detail

MEDICARE: DR. CESAR GONZALEZ DDS, MS

MEDICARE: DR. CESAR GONZALEZ DDS, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDTP706FL

General Provider Information

NPI Number : 1629741087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CESAR GONZALEZ DDS, MS
Provider Business Mailing Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-1625
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-1625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2021
Last Update Date : 03/02/2026

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