Individual
DR. GERALD S WANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 BAYVIEW AVE, GREAT NECK, NY 11021
(516) 487-7877
(516) 487-7880
Mailing address
40 BAYVIEW AVE, GREAT NECK, NY 11021
(516) 487-7877
(516) 487-7880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
002633
CT
122300000X
Dentist
Primary
18628
NY
122300000X
Dentist
22D100S52800
NJ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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