Iris V. Korus Dds Inc. | |
100-102 E. California Ave. Valentine TX 79854-0098 | |
(432) 467-2064 | |
Not Available |
Full Name | Iris V. Korus Dds Inc. |
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Speciality | Clinic/center - Dental |
Location | 100-102 E. California Ave., Valentine, Texas |
Authorized Official Name and Position | Iris Virginia Korus (OWNER) |
Authorized Official Contact | 4324672064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iris V. Korus Dds Inc. Po Box 98 100-102 E. California Ave. Valentine TX 79854-0098 Ph: (432) 467-2064 | Iris V. Korus Dds Inc. 100-102 E. California Ave. Valentine TX 79854-0098 Ph: (432) 467-2064 |
NPI Number | 1659632412 |
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Provider Enumeration Date | 06/07/2012 |
Last Update Date | 06/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659632412 | NPI | - | NPPES |
090943402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 11995 (Texas) | Primary |