Provider Demographics
NPI:1629163977
Name:GECHOFF, GREGGORY PAUL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GREGGORY
Middle Name:PAUL
Last Name:GECHOFF
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:8770 CUYAMACA ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4373
Mailing Address - Country:US
Mailing Address - Phone:619-448-1611
Mailing Address - Fax:619-448-4630
Practice Address - Street 1:8770 CUYAMACA ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4373
Practice Address - Country:US
Practice Address - Phone:619-448-1611
Practice Address - Fax:619-448-4630
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA444791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics