Individual
DR. BETH LORRAINE GENHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
37615 MARTIN LUTHER KING BLVD, DADE CITY, FL 33523-3099
(352) 518-2000
Mailing address
15800 LAKE IOLA RD, DADE CITY, FL 33523-7420
(352) 524-5170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22900
TX
1223G0001X
General Practice Dentistry
Primary
HAD27
FL
Other
Enumeration date
08/05/2007
Last updated
09/28/2020
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