Individual
JON GESICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5580 CORTEZ RD W, BRADENTON, FL 34210-2817
(941) 914-9181
Mailing address
5580 CORTEZ RD W, BRADENTON, FL 34210-2817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021123
MI
1223G0001X
General Practice Dentistry
Primary
DN20522
FL
Other
Enumeration date
01/10/2014
Last updated
02/08/2018
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