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Organization

JOSE R GENO DMD PA

Active
Parent organization
JOSE R GENO DMD PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOSE R GENO DMD PA
Authorized official
JOSE R GENO DMD (DENTIST)
(305) 854-8707
Entity
Organization

Contact information

Practice address
2200 SW 16TH STREET, SUITE 202, MIAMI, FL 33145
(305) 854-8707
(305) 854-8720
Mailing address
2200 SW 16TH STREET, SUITE 202, MIAMI, FL 33145
(305) 854-8707
(305) 854-8720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10499
FL

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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