Gerard L. Gonsalves, Dmd, PA
NPI #1043272040 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1043272040
- Entity Type
- Organization
- Organization Name
- Gerard L. Gonsalves, Dmd, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2168 MILLBURN AVE
- Address 2
- SUITE 102
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-2640
- Phone
- (973) 763-1300
Authorized Official
- Name
- DR. GERARD L. GONSALVES, DMD
- Title
- OWNER
- Phone
- (973) 763-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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