Individual
DR. CESAR D GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
(262) 653-2218
Mailing address
13020 GOLF PKWY, BROOKFIELD, WI 53005-8025
(262) 938-3208
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5379-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33779500
—
WI
Enumeration date
10/04/2005
Last updated
07/08/2007
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