# JOSE R GENO DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOSE R GENO DMD PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942496658
- **Legal business name:** JOSE R GENO DMD PA
- **Authorized official:** JOSE R GENO DMD (DENTIST)
- **Authorized official phone:** (305) 854-8707

## Contact information

- **Practice address:** 2200 SW 16TH STREET, SUITE 202, MIAMI, FL 33145
- **Practice address phone:** (305) 854-8707
- **Practice address fax:** (305) 854-8720
- **Mailing address:** 2200 SW 16TH STREET, SUITE 202, MIAMI, FL 33145
- **Mailing address phone:** (305) 854-8707
- **Mailing address fax:** (305) 854-8720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN10499 | FL | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/18/2007