Individual
DR. MICHAEL JOSEPH GENELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
418 LACKAWANNA AVE, OLYPHANT, PA 18447-1524
(570) 489-5611
Mailing address
1608 ORAM ST, SCRANTON, PA 18504-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041338
PA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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