Individual
DR. GARY HOWARD ENSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 WYOMING ST, DEPARTMENT OF MEDICAL EDUCATION, DAYTON, OH 45409-2722
(937) 208-2204
(937) 208-5393
Mailing address
1 WYOMING ST, DEPARTMENT OF MEDICAL EDUCATION, DAYTON, OH 45409-2722
(937) 208-2204
(937) 208-5393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 . 13876
OH
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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