Individual
DR. GEOFFREY W. GATZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
695 POPLAR ST, ELYRIA, OH 44035-3742
(440) 365-9359
(440) 365-5766
Mailing address
695 POPLAR ST, ELYRIA, OH 44035-3742
(440) 365-9359
(440) 365-5766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250884
—
OH
Enumeration date
08/09/2005
Last updated
07/08/2007
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