Individual
DR. JEFFREY S GENECOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, FACD, FICD
Contact information
Practice address
5926 W PARKER RD, SUITE 300, PLANO, TX 75093-7732
(972) 378-6998
(972) 378-6961
Mailing address
5926 W PARKER RD, SUITE 300, PLANO, TX 75093-7732
(972) 378-6998
(972) 378-6961
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14635
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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