Individual
DR. GARY A MINCHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1736 LYTER DRIVE, WESTMONT SHOPPING CENTER, JOHNSTOWN, PA 15905-1206
(814) 255-6831
(814) 254-1521
Mailing address
1736 LYTER DRIVE, WESTMONT SHOPPING CENTER, JOHNSTOWN, PA 15905-1206
(814) 255-6831
(814) 254-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017849L
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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