Individual
LAUREN GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
Mailing address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 379-8119
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
031480
NY
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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