Organization
RUTH CHRISTINE GONZALEZ DDS PC
Active
Parent organization
RUTH CHRISTINE GONZALEZ DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTH CHRISTINE GONZALEZ DDS PC
Authorized official
MRS. RUTH CHRISTINE GONZALEZ (OWNER/DENTIST)
(319) 365-9105
Entity
Organization
Contact information
Practice address
3534 LAFAYETTE ROAD, EVANSDALE, IA 50707-1025
(319) 233-9903
(319) 292-1696
Mailing address
1815 FIRST AVE S.E., SUITE 102, CEDAR RAPIDS, IA 52402-5474
(319) 365-9105
(319) 866-9662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08433
IA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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