Individual
CHERYL ANN GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
703 CONKLIN RD, CONKLIN, NY 13748-0198
(607) 722-5464
(607) 754-9526
Mailing address
PO BOX 198, CONKLIN, NY 13748-0198
(607) 722-5464
(607) 754-9526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0474955
NY
Other
Enumeration date
01/31/2007
Last updated
04/03/2008
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