Individual
JERRY GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
330 COLONY BLVD, THE VILLAGES, FL 32162-6081
(352) 330-6344
Mailing address
8051 PENROSE PL, WILDWOOD, FL 34785-7769
(609) 233-4195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27380
FL
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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