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
4006 WASHINGTON RD, KENOSHA, WI 53144-4819
(262) 656-0044
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020.016942
IL
124Q00000X
Dental Hygienist
Primary
7001565-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317043
—
WI
Enumeration date
03/02/2022
Last updated
07/02/2026
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