Individual
ANNA C GANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
17520 HILLSIDE AVE, JAMAICA, NY 11432-5732
(718) 291-7444
(718) 291-4231
Mailing address
280 POWERHOUSE RD, ROSLYN HEIGHTS, NY 11577-1916
(516) 621-9104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043882
NY
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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