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Contact Information

KENNY A ROBLES GONZALEZ, DDS
3253 S HARLEM AVE
SUITE 1C
BERWYN, IL60402
 Phone: 708-788-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENNY A ROBLES GONZALEZ · (Male)

NPI # 1205353109
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/23/2017
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019031362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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