Individual
GREGORY L GUDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-5896
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2951000897
MI
1223E0200X
Endodontics
30.027179
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
06/11/2023
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