Individual
DR. GERARD THOMES GENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GERARD GENCO
Contact information
Practice address
1030 GREEN RIDGE ST, SCRANTON, SCRANTON, PA 18509-1929
(570) 342-5001
(570) 342-1635
Mailing address
1030 GREEN RIDGE ST, SCRANTON, SCRANTON, PA 18509-1929
(570) 342-5001
(570) 342-1635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030379-L
PA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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