Individual
GERALD DANIEL ZGODINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6248 NORTH RIDGE ROAD, MADISON, OH 44057-2567
(440) 428-1101
(440) 428-6985
Mailing address
6248 NORTH RIDGE ROAD, MADISON, OH 44057-2567
(440) 428-1101
(440) 428-6985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30018002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753788
—
OH
Enumeration date
08/04/2006
Last updated
07/08/2007
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