Individual
DR. JOHN A GENNANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1319 NAGEL RD., SUITE 5, CINCINNATI, OH 45255-4211
(513) 474-6777
(513) 474-2326
Mailing address
1319 NAGEL RD., CINCINNATI, OH 45255-4211
(513) 474-6777
(513) 474-2326
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924807
—
OH
Enumeration date
09/23/2005
Last updated
05/09/2016
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