Gary L. Revercomb, Dmd

NPI #1245521012 in Manlius, New York

Provider Information

NPI Number
1245521012
Entity Type
Organization
Organization Name
Gary L. Revercomb, Dmd
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 27, 2011
Last Updated
Apr 27, 2011

Practice Location

Address
8076 CAZENOVIA RD
ZIP Code
13104-9218
Phone
(315) 682-8400

Authorized Official

Name
DR. GARY L REVERCOMB, DMD
Title
DENTIST
Phone
(315) 682-8400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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