Individual
DR. ALEC CHARLES GUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 JAMES ST, AUBURN, NY 13021-3457
(315) 252-7259
(315) 252-6148
Mailing address
4760 HOWLETT HILL RD, MARCELLUS, NY 13108-9701
(315) 252-7259
(315) 252-6148
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050543
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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