Individual
DR. JOSEPH VAN GEGZNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23678 US HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
Mailing address
23678 HIGHWAY 98, FAIRHOPE, AL 36532
(251) 928-8770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6133
AL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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