Individual
EMERSON JACK GONYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-2495
Mailing address
4103 2ND PL NW, ROCHESTER, MN 55901-7561
(507) 316-1306
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
R851
MN
Other
Enumeration date
06/20/2023
Last updated
08/08/2025
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