Organization
GREGGORY P. GECHOFF, DDS, MS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGGORY P. GECHOFF DDS, MS, APC (OWNER)
(619) 448-1611
Entity
Organization
Contact information
Practice address
8770 CUYAMACA ST, SUITE 5, SANTEE, CA 92071-4373
(619) 448-1611
(619) 448-4630
Mailing address
8770 CUYAMACA ST, SUITE 5, SANTEE, CA 92071-4373
(619) 448-1611
(619) 448-4630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20981
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B-20981-01
MEDI-CAL
CA
Enumeration date
11/08/2007
Last updated
12/23/2008
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