Individual
JASON GUNTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 974-5045
Mailing address
10 BROOK ST, CANANDAIGUA, NY 14424-1328
(585) 394-8071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064151
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2023
Last updated
08/16/2024
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