Individual
DR. GREGORY P. VANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
(641) 682-2350
(641) 683-4616
Mailing address
1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
(641) 682-2350
(641) 683-4616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07963
IA
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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