Individual
DR. GWEN GIANNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1173 KENNEDY BLVD, BAYONNE, NJ 07002-3132
(201) 339-1177
(201) 339-2120
Mailing address
1173 KENNEDY BLVD, BAYONNE, NJ 07002
(201) 339-1177
(201) 339-2120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057765
NY
1223G0001X
General Practice Dentistry
20518
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02051800
NJ
Other
Enumeration date
08/02/2005
Last updated
12/13/2019
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