DR. Gerard L. Gonsalves, D.M.D. P.A.
NPI #1710980180 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1710980180
- Entity Type
- Individual
- Name
- DR. Gerard L. Gonsalves, D.M.D. P.A.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D. P.A.
- Enumeration Date
- May 31, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2168 MILLBURN AVE
- Address 2
- STE 102
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-2670
- Phone
- (973) 763-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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