Individual
DR. GREGORY CHARLES BOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1 MARK TREE RD, CENTEREACH, NY 11720-2279
(631) 737-2626
(631) 673-6299
Mailing address
1 MARK TREE RD, CENTEREACH, NY 11720-2279
(631) 737-2626
(631) 673-6299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
055610
NY
Other
Enumeration date
04/24/2009
Last updated
05/15/2023
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