Vidal Gonzalez, Ricardo L

Vidal Gonzalez, Ricardo L is an individual health care provider with primary practice located at 118 Sears Ave , Louisville KY 40207-5014. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Vidal Gonzalez, Ricardo L can be contacted via phone (502) 296-7536.

Contact Information

Primary practice address
118 Sears Ave Louisville KY 40207-5014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 30.024338 Ohio
Dental Providers / Periodontics 1223P0300X 12013412A Indiana
Dental Providers / Periodontics 1223P0300X 8281 Kentucky

Profile Details

NPI number 1295873479
LBN Legal business name Vidal Gonzalez, Ricardo L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Dec 12th, 2021 - about 3 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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