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Individual

DR. ANN SUE VON GONTEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2410 STANLEY RD, US ARMY DENTAL ACTIVITY, SUITE 200J, FORT SAM HOUSTON, TX 78234-6230
(210) 295-2743
(210) 295-2602
Mailing address
2410 STANLEY RD, US ARMY DENTAL ACTIVITY, SUITE 200J, FORT SAM HOUSTON, TX 78234-6230
(210) 295-2743
(210) 295-2602

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5247
NC

Other

Enumeration date
10/21/2005
Last updated
07/08/2007
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