# GARY L GIANGRECO DDC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245696467
- **Authorized official:** GARY L GIANGRECO DDC PC (OWNER)
- **Authorized official phone:** (585) 671-4522

## Contact information

- **Practice address:** 2115 EMPIRE BLVD, WEBSTER, NY 14580-1907
- **Practice address phone:** (585) 671-4522
- **Mailing address:** 2115 EMPIRE BLVD, WEBSTER, NY 14580-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 043501 | NY | Yes |

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 01/04/2016
