Individual
MICHAEL J GONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4745 MAIN STREET, SUITE 201, LISLE, IL 60532
(630) 968-5078
(630) 968-3621
Mailing address
4745 MAIN STREET, SUITE 201, LISLE, IL 60532
(630) 968-5078
(630) 968-3621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016697
IL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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