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Organization
KEVIN J DILEO DDS EVIE GREEN-DILEO DDS PC
Active
Organization
KEVIN J DILEO DDS EVIE GREEN-DILEO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J. DILEO DDS (DOCTOR/OWNER)
(409) 886-9392
Entity
Organization
Contact information
Practice address
1208 W ELM ST, ORANGE, TX 77630-5535
(409) 886-9392
(409) 883-6811
Mailing address
1208 W ELM ST, ORANGE, TX 77630-5535
(409) 886-9392
(409) 883-6811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16900
TX
1223G0001X
General Practice Dentistry
16906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027B2
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/10/2008
Last updated
02/03/2016
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