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ELGENE G MAINOUS DDS

Surgery Yellow Pages

Galveston, Texas

Provider NPI: 1720187727

Provider Information:
 ELGENE G MAINOUS DDS


Practice Location:
301 UNIVERSITY BLVD  GALVESTON, TX 77555 US
Tel: 440-977-2222  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TX10973
N204E00000XPhysicians
Oral & Maxillofacial Surgery
TX10973

Other Provider Identifiers:

IssuerNumberStateType
126745202TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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