Individual
DR. JOHN B GENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
828 AVENUE G, MARRERO, LA 70072-1830
(504) 341-5200
(504) 341-6977
Mailing address
4917 GUIDRY ST, METAIRIE, LA 70006-1120
(504) 779-6360
(504) 341-6977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2285
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822850
—
LA
Enumeration date
02/27/2007
Last updated
07/08/2007
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