Individual
DR. GEOFFREY RAYMOND GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 EAST VIEW ROAD, AVERILL PARK, NY 12018
(518) 674-3174
(518) 674-3001
Mailing address
1 EAST VIEW ROAD, AVERILL PARK, NY 12018
(518) 674-3174
(518) 674-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0504921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02408955
—
NY
Enumeration date
11/02/2006
Last updated
07/14/2008
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