Individual
MRS. GISSELL M SANGUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(844) 474-2273
Mailing address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(917) 557-4105
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028914
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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