Individual
DR. SCOTT JEFFREY GENUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
40W165 CAMPTON CROSSINGS DR STE B, SAINT CHARLES, IL 60175-6570
(630) 513-6440
(630) 513-9377
Mailing address
41W248 HEARTHSTONE CT, SAINT CHARLES, IL 60175-7876
(630) 939-9237
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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