Individual
DR. JOHN BRIAN GINNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1281 UNION ROAD, WEST SENECA, NY 14224
(716) 675-8500
Mailing address
27 TANGLEWOOD DR WEST, ORCHARD PARK, NY 14127
(716) 662-4066
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
030423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00678482
—
NY
Enumeration date
12/27/2006
Last updated
07/08/2007
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