Individual
DR. GEOFFREY GANZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 WEST WISCONSIN AVE, PERIODONTICS, MILWAUKEE, WI 53233
(414) 288-6279
Mailing address
1801 WEST WISCONSIN AVE, PERIODONTICS, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002241
WI
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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