Gonzalez Montoya, Edwin

Gonzalez Montoya, Edwin is an sole proprietor health care provider with primary practice located at 6585 E State St , Rockford IL 61108-2542. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gonzalez Montoya, Edwin can be contacted via phone (787) 587-9675.

Contact Information

Primary practice address
6585 E State St Rockford IL 61108-2542
Phone: (787) 587-9675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019031410 Illinois
Dental Providers / General Practice 1223G0001X 019031410 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021002849 Illinois

Profile Details

NPI number 1396255097
LBN Legal business name Gonzalez Montoya, Edwin
Credentials OMFS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2017
Last updated Dec 7th, 2017 - about 9 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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