Dr. John Wallace Gunselman, dmd
Dentist, General Practice in Corning, NY. Individual provider (NPI-1).
NPI number1861690984
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1861690984
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Wallace Gunselman
- Credential
- dmd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2007
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 031315 | NY | Yes |
Practice location
218 Denison Pkwy ESuite 201
Corning, NY 14830-2813
Phone 607-937-5341 · Fax 607-937-5344
Mailing address
218 Denison Pkwy ESuite 201
Corning, NY 14830-2813
Phone 607-937-5341 · Fax 607-937-5344
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