Organization
DR GARY GEACCONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GEACCONE DDS (DENTIST/ OWNER)
(281) 332-9565
Entity
Organization
Contact information
Practice address
608 B WEST MAIN, LEAGUE CITY, TX 77573
(281) 332-9565
(281) 554-9066
Mailing address
608 W MAIN ST, STE B, LEAGUE CITY, TX 77573-3884
(281) 332-9565
(281) 554-9066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14401
TX
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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