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Individual

DR. GARY KARL GONZENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3280 MIDDLE ROAD, BLDG 1, COLUMBUS, IN 47203
(812) 376-9317
(812) 376-9380
Mailing address
3280 MIDDLE DR, BLDG 1, COLUMBUS, IN 47203-4426
(812) 376-9317
(812) 376-9380

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7240
IN

Other

Enumeration date
09/26/2006
Last updated
03/18/2008
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