NPI 1225599111

Fotene Gennatos DDS, PLLC

Organisation Dental Clinic/Center Storm Lake, IA

Practice location

Address: 415 W 5th St, Storm Lake, IA 50588-1725
Phone: (712) 732-2277
Mailing address: 3008 Valley Dr, Sioux City, IA 51104-4063

Authorised official

Name: Fotene Gennatos
Title: Owner/President
Phone: (406) 451-6174

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

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Registry record

NPI: 1225599111
Entity type: Organization
NPI issued: 25 Mar 2019
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.