Jonathan W. Gantz, D.D.S.

NPI #1386872141 in Walla Walla, Washington

Provider Information

NPI Number: 1386872141
Entity Type: Individual
Name: Jonathan W. Gantz, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 2014 S HOWARD ST
City: Walla Walla
State: Washington
ZIP Code: 99362-4532
Phone: (509) 525-4833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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