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Organization

PETER GENCO

Active
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Organization

PETER GENCO

Active
Other names
Peter Genco
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER A GENCO DOCTOR (DMD)
(845) 434-1202
Entity
Organization

Contact information

Practice address
5203 MAIN ST, SOUTH FALLSBURG, NY 12779-5422
(845) 434-1202
Mailing address
5203 MAIN ST, SOUTH FALLSBURG, NY 12779-5422
(845) 434-1202

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049937-1
NY

Other

Enumeration date
03/13/2018
Last updated
03/13/2018
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