Ruth Christine Gonzalez DDS PC
Organization Active NPI Dentist · Evansdale, IA
NPI 1659652121 · NPPES record last updated Aug 29, 2011
Key facts
- NPI
- 1659652121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 08433 (IA)
- Legal business name
- RUTH CHRISTINE GONZALEZ DDS PC
- Practice address
- 3534 Lafayette Road
Evansdale, IA 50707-1025 - Phone
- (319) 233-9903
- Fax
- (319) 292-1696
- NPI assigned
- Aug 29, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- RUTH CHRISTINE GONZALEZ DDS PC
Authorized official
- Name
- Mrs. Ruth Christine Gonzalez
- Title
- Owner/Dentist
- Phone
- (319) 365-9105
Corporate family (same tax ID) 1
Practitioners 3
National Provider Directory
- Tax ID family
- Ruth Christine Gonzalez DDS PC
- Part of
- Ruth Christine Gonzalez DDS PC
Locations
3534 Lafayette Rd
Evansdale, IA 50707
Phone (319) 233-9903
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 08433 | IA | Yes |
Addresses
Primary practice location
3534 Lafayette Road
Evansdale, IA 50707-1025
Mailing address
1815 First Ave S.E.
Suite 102
Cedar Rapids, IA 52402-5474
Phone (319) 365-9105
Other providers in Evansdale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.