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Organization
RICARDO GONZALEZ DDS LTD
Active
Organization
RICARDO GONZALEZ DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR RICARDO GONZALEZ-JIMENEZ DDS (PRESIDENT)
(630) 898-3610
Entity
Organization
Contact information
Practice address
1780 N FARNSWORTH AVE, AURORA, IL 60505-1576
(630) 898-3610
(630) 898-6362
Mailing address
1780 N FARNSWORTH AVE, AURORA, IL 60505-1576
(630) 898-3610
(630) 898-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018457
IL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
019-018457
IL
1223P0221X
Pediatric Dentistry
021-001246
IL
Other
Enumeration date
07/27/2006
Last updated
02/03/2015
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