Individual
DR. JAN WADE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
176 BROADWAY, LAWRENCE, NY 11559-1731
(516) 239-3333
(516) 371-6940
Mailing address
176 BROADWAY, LAWRENCE, NY 11559-1731
(516) 239-3333
(516) 371-6940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029102
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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