Individual
DANNY GENNAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3701 S LINDBERGH BLVD STE 200, SAINT LOUIS, MO 63127-1372
(314) 821-4410
Mailing address
3701 S LINDBERGH BLVD STE 200, SAINT LOUIS, MO 63127-1372
(314) 821-4410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012019902
MO
Other
Enumeration date
08/07/2012
Last updated
12/10/2020
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