Organization
GERARD L. GONSALVES, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD L. GONSALVES DMD (OWNER)
(973) 763-1300
Entity
Organization
Contact information
Practice address
2168 MILLBURN AVE, SUITE 102, MAPLEWOOD, NJ 07040-2640
(973) 763-1300
(973) 763-0800
Mailing address
2168 MILLBURN AVE, SUITE 102, MAPLEWOOD, NJ 07040-2640
(973) 763-1300
(973) 763-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01640700
NJ
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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