Individual
SUSAN PAGE SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 CENTER DR RM D1-19, GAINESVILLE, FL 32610-3006
(352) 273-7846
Mailing address
15106 NW 149TH RD, ALACHUA, FL 32615-0252
(704) 968-1025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH10875
FL
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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