# JOHN B. GENNARO D.D.S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952644395
- **Authorized official:** JOHN B GENNARO D.D.S. (DENTISTIS)
- **Authorized official phone:** (504) 341-5200

## Contact information

- **Practice address:** 828 AVENUE G, MARRERO, LA 70072-1830
- **Practice address phone:** (504) 341-5200
- **Practice address fax:** (504) 341-6977
- **Mailing address:** 828 AVENUE G, MARRERO, LA 70072-1830
- **Mailing address phone:** (504) 341-5200
- **Mailing address fax:** (504) 341-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2285 | LA | Yes |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 04/04/2013