Geno Giovanini

NPI 1205365632 · on the registry since 2017 · sole proprietor

Practice

Address: 115 S. 15th Ave. Ste. D
Pocatello, ID 83201
Phone: (208) 232-2558
Organisation at this address: Portneuf Dental Pllc
Earl C Chester Jr. Md Pa
Denture Clinic Of Pocatello, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122400000X
122400000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho