Organization
IRIS V. KORUS DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIS VIRGINIA KORUS DDS (OWNER)
(432) 467-2064
Entity
Organization
Contact information
Practice address
100-102 E. CALIFORNIA AVE., VALENTINE, TX 79854-0098
(432) 467-2064
Mailing address
PO BOX 98, 100-102 E. CALIFORNIA AVE., VALENTINE, TX 79854-0098
(432) 467-2064
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090943402
—
TX
Enumeration date
06/07/2012
Last updated
06/07/2012
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