Jonathan Gomogda Valid NPI
Individual provider · General Practice Dentistry · Riverview, FL
- NPI
- 1821832270
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DN31712 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-06-20
- Last updated
- 2026-06-01
Practice location
11345 Us Highway 301 S Ste 104
Riverview, FL 33578-6279
(813) 367-9496