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This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X |
| NPI Number | 1760860670 |
| LBN Legal business name | COMFORT DENTAL GREEN VALLEY RANCH |
| Authorized official | BRIAN SEVERANCE - (DENTIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/12/2015 |
| Last updated | 05/12/2015 - About 11 years ago |
| Identifiers | n/a |
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COMFORT DENTAL GREEN VALLEY RANCH
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