| Fotene Gennatos Dds, Pllc | |
|
415 W 5th St Storm Lake IA 50588-1725 | |
| (712) 732-2277 | |
| Not Available |
| Full Name | Fotene Gennatos Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 W 5th St, Storm Lake, Iowa |
| Authorized Official Name and Position | Fotene Gennatos (OWNER/PRESIDENT) |
| Authorized Official Contact | 4064516174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fotene Gennatos Dds, Pllc 3008 Valley Dr Sioux City IA 51104-4063 Ph: (406) 451-6174 | Fotene Gennatos Dds, Pllc 415 W 5th St Storm Lake IA 50588-1725 Ph: (712) 732-2277 |
| NPI Number | 1225599111 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225599111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Family 1st Dental Of Storm Lake Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W 6th St, Storm Lake, IA 50588 Phone: 712-732-2319 |