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Organization
MICHAEL F GONZALEZ DDS LTD
Active
Organization
MICHAEL F GONZALEZ DDS LTD
Active
Parent organization
MICHAEL F GONZALEZ DDS LTD
Other names
North Avenue Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL F GONZALEZ DDS LTD
Authorized official
DR. MICHAEL GONZALEZ DDS (OWNER DENTIST)
(847) 682-7283
Entity
Organization
Contact information
Practice address
7544 W NORTH AVE STE 4, ELMWOOD PARK, IL 60707-2790
(708) 452-1879
(708) 452-1893
Mailing address
7544 W NORTH AVE STE 4, ELMWOOD PARK, IL 60707-2790
(708) 452-1879
(708) 452-1893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/13/2020
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