| Ivi Z Sanguinetti Dds Pa | |
|
6920 Garth Rd Baytown TX 77521-9646 | |
| (281) 421-5950 | |
| (281) 421-7828 |
| Full Name | Ivi Z Sanguinetti Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 6920 Garth Rd, Baytown, Texas |
| Authorized Official Name and Position | Ivi Z Sanguinetti (DENTIST / OWNER / PRESIDENT) |
| Authorized Official Contact | 2814215950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivi Z Sanguinetti Dds Pa 6920 Garth Rd Baytown TX 77521-9646 Ph: (281) 421-5950 | Ivi Z Sanguinetti Dds Pa 6920 Garth Rd Baytown TX 77521-9646 Ph: (281) 421-5950 |
| NPI Number | 1083618664 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083618664 | NPI | - | NPPES |
| 111401501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17943 (Texas) | Primary |
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