Gonzalez, Cesar D

Gonzalez, Cesar D is an individual health care provider with primary practice located at 4536 22Nd Ave , Kenosha WI 53140-5917. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gonzalez, Cesar D can be contacted via phone (262) 656-0044.

Contact Information

Primary practice address
4536 22Nd Ave Kenosha WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5379-015 Wisconsin

Profile Details

NPI number 1023005972
LBN Legal business name Gonzalez, Cesar D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023005972 NPPES
Wisconsin MEDICAID 33779500

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