Individual
DR. JESSICA LEIGH GEORGE GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6435 ARGONNE BLVD, NEW ORLEANS, LA 70124-3903
(423) 605-4464
Mailing address
27023 N 55TH LN, PHOENIX, AZ 85083-7335
(423) 605-4464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009423
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2013
Last updated
06/10/2016
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