DR. Gary Allen Disanto-Rose, DMD

NPI #1568572097 in Johnstown, New York

Provider Information

NPI Number: 1568572097
Entity Type: Individual
Name: DR. Gary Allen Disanto-Rose, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 32 S MARKET ST
City: Johnstown
State: New York
ZIP Code: 12095-2333
Phone: (518) 762-7033

Specialties & Taxonomy Codes

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

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