| Kevin J Dileo Dds Evie Green-dileo Dds Pc | |
|
1208 W Elm St Orange TX 77630-5535 | |
| (409) 886-9392 | |
| (409) 883-6811 |
| Full Name | Kevin J Dileo Dds Evie Green-dileo Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1208 W Elm St, Orange, Texas |
| Authorized Official Name and Position | Kevin J. Dileo (DOCTOR/OWNER) |
| Authorized Official Contact | 4098869392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Dileo Dds Evie Green-dileo Dds Pc 1208 W Elm St Orange TX 77630-5535 Ph: (409) 886-9392 | Kevin J Dileo Dds Evie Green-dileo Dds Pc 1208 W Elm St Orange TX 77630-5535 Ph: (409) 886-9392 |
| NPI Number | 1063698918 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063698918 | NPI | - | NPPES |
| 0027B2 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16900 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 16906 (Texas) | Secondary |
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