Organization
GEOFFREY R. GAMACHE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY R. GAMACHE D.D.S. (DENTIST/OWNER)
(518) 674-3174
Entity
Organization
Contact information
Practice address
1 EASTVIEW RD, AVERILL PARK, NY 12018-2402
(518) 674-3174
(518) 674-3001
Mailing address
1 EASTVIEW RD, AVERILL PARK, NY 12018-2402
(518) 674-3174
(518) 674-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
030848
NY
1223G0001X
General Practice Dentistry
036602
NY
1223G0001X
General Practice Dentistry
Primary
050492-1
NY
Other
Enumeration date
12/28/2007
Last updated
01/29/2015
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