Individual
ALEXANDRIA GOMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3386 NILES RD, SAINT JOSEPH, MI 49085-8800
(269) 281-8080
Mailing address
906 LIONS PARK DR, SAINT JOSEPH, MI 49085-1019
(708) 990-7110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002641-15
WI
1223G0001X
General Practice Dentistry
Primary
2901601151
MI
Other
Enumeration date
07/27/2021
Last updated
10/03/2023
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