Individual
DR. COLLEEN CHRISTINE GACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3690 ORANGE PL, SUITE 550, BEACHWOOD, OH 44122-4464
(216) 464-0500
(216) 464-0573
Mailing address
3690 ORANGE PL, SUITE550, BEACHWOOD, OH 44122-4464
(216) 464-0500
(216) 464-0573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21356
OH
Other
Enumeration date
08/06/2009
Last updated
01/20/2016
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