Maria Despina Georgakis, DMD
Dentist, General Practice in Lubbock, TX. Individual provider (NPI-1).
NPI number1154982015
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1154982015
- Entity type
- Individual (NPI-1)
- Name
- Maria Despina Georgakis
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2019
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 35291 | TX | Yes |
Practice location
5607 Slide Rd Ste 200Lubbock, TX 79414-4104
Phone 806-792-1750
Mailing address
5301 Chicago Ave Apt 4310Lubbock, TX 79414-6011
Phone 909-579-9701
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