Individual
DR. GISELE MAINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-6577
Mailing address
425 N FRONT ST, APT 623, COLUMBUS, OH 43215-2274
(614) 653-9782
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
RES.2972
OH
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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