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Jasen Genninger
NPI 1780054593 · on the registry since 2015
Practice
- Address
- 511 W Brandon Blvd
Brandon, FL 33511 - Phone
- (813) 381-5632
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida