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Organization
GENASCI AND STIGERS DENTAL CORPORATION
Active
Organization
GENASCI AND STIGERS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES FIGUEROA (CREDENTIALING)
(623) 289-3392
Entity
Organization
Contact information
Practice address
2867 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-7805
(530) 544-4893
Mailing address
19601 N BLACK CANYON HWY # 201, PHOENIX, AZ 85027-4107
(623) 289-3392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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