Danny M Gennaoui Dmd Llc | |
3701 S Lindbergh Blvd Ste 200 Saint Louis MO 63127-1372 | |
(314) 821-4410 | |
Not Available |
Full Name | Danny M Gennaoui Dmd Llc |
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Speciality | Clinic/center - Dental |
Location | 3701 S Lindbergh Blvd Ste 200, Saint Louis, Missouri |
Authorized Official Name and Position | Tara Rees (TREATMENT COORDINATOR) |
Authorized Official Contact | 3148214410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Danny M Gennaoui Dmd Llc 3701 S Lindbergh Blvd Ste 200 Saint Louis MO 63127-1372 Ph: (314) 821-4410 | Danny M Gennaoui Dmd Llc 3701 S Lindbergh Blvd Ste 200 Saint Louis MO 63127-1372 Ph: (314) 821-4410 |
NPI Number | 1417612904 |
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Provider Enumeration Date | 11/01/2021 |
Last Update Date | 11/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417612904 | NPI | - | NPPES |
1518214782 | Other | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Garden Heights Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 S Big Bend Blvd, Saint Louis, MO 63117 Phone: 314-645-1225 | |
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