Individual
DR. JOHN C GENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 NORTH SECOND ST., OLEAN, NY 14760-2502
(716) 372-8970
Mailing address
1253 KAMERY RD., OLEAN, NY 14760-2502
(716) 372-8970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042407
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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