# WANDA CRUZ-GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366416349
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 36055205 | IL | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 03/12/2008