Organization
GARY L GIANGRECO DDC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L GIANGRECO DDC PC (OWNER)
(585) 671-4522
Entity
Organization
Contact information
Practice address
2115 EMPIRE BLVD, WEBSTER, NY 14580-1907
(585) 671-4522
Mailing address
2115 EMPIRE BLVD, WEBSTER, NY 14580-1907
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
043501
NY
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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