Individual
DR. JACK L. GISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
85 NORTH ST, DANBURY, CT 06810-5635
(203) 743-4770
(203) 790-5172
Mailing address
85 NORTH ST, DANBURY, CT 06810-5635
(203) 743-4770
(203) 790-5172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05239
CT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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