GERALD JOHN MANCUSO

OMAHA, NE
NPI1972571016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NE  5075)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
Dr. GERALD JOHN MANCUSO D.D.S.
7930 BLONDO ST
OMAHA, NE 68134-6661
Phone number: 402-397-7799
Mailing Address
Dr. GERALD JOHN MANCUSO D.D.S.
7930 BLONDO ST
OMAHA, NE 68134-6661
Phone number: 402-397-7799