Individual
DR. ELIZABETH K GESENHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
491 PROSPERITY LAKE DR, SUITE 301, ST AUGUSTINE, FL 32092-5045
(904) 429-0095
(904) 429-0238
Mailing address
491 PROSPERITY LAKE DR, SUITE 301, ST AUGUSTINE, FL 32092-5045
(904) 429-0095
(904) 429-0238
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN00012154
FL
Other
Enumeration date
08/23/2007
Last updated
05/27/2014
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