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Individual

DR. JOSEPH GONDOLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
44356 CHERRY HILL RD, CANTON, MI 48187-3274
(734) 981-5050
(734) 981-5021
Mailing address
44356 CHERRY HILL RD, CANTON, MI 48187-3274
(734) 981-5050
(734) 981-5021

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017191
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2901017191
LICENSE NUMBER
MI
Enumeration date
11/07/2006
Last updated
10/06/2016
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