Organization
GWEN GIANNINA DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN GIANNINA (OWNER/ DENTIST)
(201) 339-1177
Entity
Organization
Contact information
Practice address
1173 KENNEDY BLVD, BAYONNE, NJ 07002-3132
(201) 339-1177
Mailing address
1173 KENNEDY BLVD, BAYONNE, NJ 07002-3132
(201) 339-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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