Organization
MICHAEL J GONDA DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J GONDA DDS (DR OWNER)
(630) 968-5078
Entity
Organization
Contact information
Practice address
4745 MAIN ST, SUITE 201, LISLE, IL 60532
(630) 968-5078
(630) 968-3621
Mailing address
4745 MAIN ST, SUITE 201, LISLE, IL 60532
(630) 968-5078
(630) 968-3621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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