Whalio Doctors

NPI 1205365632

Geno Alan Giovanini

Practitioner Denturist Pocatello, ID

Practice location

Address
115 S. 15th Ave. STE. D, Pocatello, ID 83201
Phone
(208) 232-2558
Mailing address
115 S 15th Ave STE D, Pocatello, ID 83201-4052

Registered specialties

Denturist Primary
Dental Providers Taxonomy 122400000X Licence LD-98 (ID)

Registry record

NPI
1205365632
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2017
Record last updated
8 Jun 2017

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.