| Genasci And Stigers Dental Corporation | |
|
2867 Lake Tahoe Blvd South Lake Tahoe CA 96150-7805 | |
| (530) 544-4893 | |
| Not Available |
| Full Name | Genasci And Stigers Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2867 Lake Tahoe Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Mercedes Figueroa (CREDENTIALING) |
| Authorized Official Contact | 6232893392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genasci And Stigers Dental Corporation 19601 N Black Canyon Hwy # 201 Phoenix AZ 85027-4107 Ph: (623) 289-3392 | Genasci And Stigers Dental Corporation 2867 Lake Tahoe Blvd South Lake Tahoe CA 96150-7805 Ph: (530) 544-4893 |
| NPI Number | 1609695014 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609695014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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