Organization
JOHN HERBERT GERSTENMAIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HERBERT GERSTENMAIER JR. DDS (OWNER PRESIDENT)
(330) 867-5688
Entity
Organization
Contact information
Practice address
3094 WEST MARKET ST, #260, FAIRLAWN, OH 44333-3626
(330) 867-5688
(330) 867-9921
Mailing address
3094 WEST MARKET ST, #260, FAIRLAWN, OH 44333-3626
(330) 867-5688
(330) 867-9921
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2901010057
MI
1223P0221X
Pediatric Dentistry
Primary
30014537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273814
—
OH
Enumeration date
04/18/2008
Last updated
04/18/2008
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