Organization
DR. JACK L. GISH & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK L. GISH DDS (PRESIDENT)
(203) 743-4770
Entity
Organization
Contact information
Practice address
85 NORTH ST, DANBURY, CT 06810-5635
(203) 743-4770
(203) 790-5172
Mailing address
85 NORTH ST, DANBURY, CT 06810-5635
(203) 743-4770
(203) 790-5172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5239
CT
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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