Individual
MARIA KATHRYN GENELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400 DUNMORE ST, THROOP, PA 18512-1147
(570) 489-2101
(570) 489-7227
Mailing address
400 DUNMORE ST, THROOP, PA 18512-1147
(570) 489-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042284
PA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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