Provider Demographics
NPI:1962401224
Name:JANOSEK, JOSEPH PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:JANOSEK
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5525 S STAPLES ST
Mailing Address - Street 2:SUITE A2
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5357
Mailing Address - Country:US
Mailing Address - Phone:361-993-5905
Mailing Address - Fax:361-991-1158
Practice Address - Street 1:5525 S STAPLES ST
Practice Address - Street 2:SUITE A2
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5357
Practice Address - Country:US
Practice Address - Phone:361-993-5905
Practice Address - Fax:361-991-1158
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX136361223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics