| Michael J Gonda Dds Ltd | |
|
4745 Main St Suite 201 Lisle IL 60532 | |
| (630) 968-5078 | |
| (630) 968-3621 |
| Full Name | Michael J Gonda Dds Ltd |
|---|---|
| Speciality | Dentist |
| Location | 4745 Main St, Lisle, Illinois |
| Authorized Official Name and Position | Michael J Gonda (DR OWNER) |
| Authorized Official Contact | 6309685078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Gonda Dds Ltd 4745 Main St Suite 201 Lisle IL 60532 Ph: (630) 968-5078 | Michael J Gonda Dds Ltd 4745 Main St Suite 201 Lisle IL 60532 Ph: (630) 968-5078 |
| NPI Number | 1376658674 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376658674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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