Individual
MRS. MICHELE QUINN GORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS, MA
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6724
TX
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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