Fotene Gennatos Dds, Pllc
NPI #1225599111 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1225599111
- Entity Type
- Organization
- Organization Name
- Fotene Gennatos Dds, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 415 W 5TH ST
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-1725
- Phone
- (712) 732-2277
Authorized Official
- Name
- FOTENE GENNATOS
- Title
- OWNER/PRESIDENT
- Phone
- (406) 451-6174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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