Individual
SUSAN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7505 GRAND LELY DR, NCEF PEDIATRIC DENTAL CENTER BUILDING L, NAPLES, FL 34113-1753
(239) 775-3052
(239) 775-7032
Mailing address
7505 GRAND LELY DR, NAPLES, FL 34113-1753
(239) 775-3052
(239) 775-7032
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 23868
FL
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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