Individual
DR. JAY GOUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1929 E RAY RD, CHANDLER, AZ 85225-8722
(480) 498-8825
Mailing address
337 S LEANDRO, MESA, AZ 85208-2655
(757) 268-2066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010038
AZ
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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