Organization
GENCO DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD T GENCO D.M.D. (OWNER)
(570) 785-9500
Entity
Organization
Contact information
Practice address
518 MAIN ST, FOREST CITY, PA 18421-1498
(570) 785-9500
Mailing address
518 MAIN ST, FOREST CITY, PA 18421-1498
(570) 785-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030379L
PA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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