Individual
SUZANA GJINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W GABRIEL ST, ADVANCE, MO 63730-8301
(573) 722-3034
Mailing address
1928 PERRYVILLE RD, CAPE GIRARDEAU, MO 63701-2425
(314) 757-2881
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2022006321
MO
Other
Enumeration date
05/03/2019
Last updated
11/07/2024
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