Individual provider · Type 1 NPI

Jasen Genninger

General Practice Dentistry · Brandon, FL

NPI number 1780054593 Active

About NPI 1780054593

Jasen Genninger's National Provider Identifier is 1780054593, issued on Oct 6, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brandon, FL. The record was last updated on Oct 6, 2015.