Individual
DR. EDUARDO DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 W WASHINGTON ST, EAST PEORIA, IL 61611-2477
(309) 839-4673
Mailing address
125 SW JEFFERSON AVE # W15C, PEORIA, IL 61602-1224
(305) 331-0681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032704
IL
Other
Enumeration date
06/16/2020
Last updated
06/22/2020
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