Individual
JONATHAN W. GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-9111
(509) 593-5155
Mailing address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-9111
(509) 593-5155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60093430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134988
—
WA
Enumeration date
06/30/2009
Last updated
05/18/2026
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