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Individual

LUIS DANIEL RUIZ GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDH

Contact information

Practice address
4006 WASHINGTON RD, KENOSHA, WI 53144-4819
(262) 771-3553
Mailing address
866 PINE HILL DR, ANTIOCH, IL 60002-1877

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020.016942
IL
124Q00000X
Dental Hygienist
Primary
7001565-16
WI

Other

Enumeration date
03/02/2022
Last updated
07/17/2025
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