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Organization
USCG
Active
Organization
USCG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LYNN GORDON RDH (DENTAL HYGIENIST)
(727) 393-7269
Entity
Organization
Contact information
Practice address
10569 LAKE BREEZE DR, SEMINOLE, FL 33772-4333
(727) 393-7269
Mailing address
10569 LAKE BREEZE DR, SEMINOLE, FL 33772-4333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH19214
FL
Other
Enumeration date
02/09/2007
Last updated
06/16/2008
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