Individual
DR. MARK EDWARD GONYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1415 W MASON ST, GREEN BAY, WI 54303-2120
(920) 499-9131
(920) 499-4580
Mailing address
1415 W MASON ST, GREEN BAY, WI 54303-2120
(920) 499-9131
(920) 499-4580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3502
WI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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