Brian A Genna I DMD

NPI 1093776312 - Dentist - 1223G0001X

NPI Details
NPI 1093776312
Gender Male
Enumeration Date 03/28/2006
Last Updated 05/27/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
19 TACOMA ST
WORCESTER MA, 01605-3516, US
Phone (508) 852-1805
Fax (508) 853-8593
Business Location
19 TACOMA ST
WORCESTER MA, 01605-3516, US
Phone (508) 852-1805
Fax (508) 853-8593
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number DN18501
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According to our database, Brian A Genna I DMD NPI is 1093776312, taxonomy code is 1223G0001X and license number is DN18501, license state is located at Massachusetts. Brian A Genna I DMD physically located at 19 Tacoma St, Worcester MA, 01605-3516. NPI Number Brian A Genna I DMD has the Individual type.

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1093776312 NPI number is provided on an as is basis without warranty of any kind. 1093776312 is maintained by the National Plan & Provider Enumeration System. The contents of Brian A Genna I DMD are for informational purposes only.