Provider Demographics
NPI:1932784667
Name:GENAO CONSUEGRA, ARLENE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:GENAO CONSUEGRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:GENAO CONSUEGRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOCTOR OF ODONTOLOGY
Mailing Address - Street 1:411 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3478
Mailing Address - Country:US
Mailing Address - Phone:754-816-1965
Mailing Address - Fax:
Practice Address - Street 1:411 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3478
Practice Address - Country:US
Practice Address - Phone:754-816-1965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist