Individual
GWEN KATHERINE GOSTOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-8891
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-8891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044710
PA
Other
Enumeration date
07/08/2024
Last updated
09/12/2025
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