Organization
EDWARD GENECOV DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GENECOV DDS (DOCTOR)
(972) 387-9770
Entity
Organization
Contact information
Practice address
5410 ALPHA RD, DALLAS, TX 75240-4506
(972) 387-9770
(972) 387-0551
Mailing address
5410 ALPHA RD, DALLAS, TX 75240-4506
(972) 387-9770
(972) 387-0551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346366705
NPI
TX
Enumeration date
06/06/2008
Last updated
06/06/2008
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