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Wanda Cruz-gonzalez, DMD
Oral and Maxillofacial Surgery (Dentist) in Maywood, Illinois
NPI 1366416349

Wanda Cruz-gonzalez is a Oral and Maxillofacial Surgery (Dentist) based in Maywood, IL and is specialized in Oral and Maxillofacial Surgery. Wanda Cruz-gonzalez practices in Maywood, IL and has the professional credentials of DMD. The NPI Number for Wanda Cruz-gonzalez is 1366416349 and holds a License No. 36055205 (Illinois).

The current practice location address for Wanda Cruz-gonzalez is 2160 S First Ave, Maywood, IL and can be reached out via phone at 708-216-9000 and via fax at 708-216-9033.

Location: 2160 S First Ave, Maywood, IL, 60153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366416349
Provider Name
Wanda Cruz-gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2160 S First Ave, Maywood, IL, 60153
Phone Number
708-216-9000
Fax Number
708-216-9033
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36055205 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S First Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-216-9000
Fax Number
708-216-9033
person
Provider Business Mailing Address Details
Address
2160 S First Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-216-9000
Fax Number
708-216-9033
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
36055205 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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