| |
216 I45 South League City TX 77573 | |
(281) 338-6559 | |
(281) 338-4953 |
Full Name | |
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Speciality | Dentist |
Location | 216 I45 South, League City, Texas |
Authorized Official Name and Position | Jeffrey B Geno (OWNER) |
Authorized Official Contact | 2813386559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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216 I45 South League City TX 77573 Ph: (281) 338-6559 | 216 I45 South League City TX 77573 Ph: (281) 338-6559 |
NPI Number | 1740200070 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740200070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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