Individual
DR. GENEVIEVE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
925 ALLING STREET, DENTAL HEALTH ASSOCIATES PA, NEWARK, NJ 07102
(973) 297-1550
(973) 297-1554
Mailing address
320 SOUTH MAIN STREET, CORPORATE OFFICE 2ND FLR, PHILIPSBURG, NJ 08865
(908) 387-6120
(908) 387-8322
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI022118
NJ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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