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Individual

DR. ADRIANA GABALDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3600 BROADWAY STE A, FORT MYERS, FL 33901-8002
(239) 344-2335
(239) 936-6228
Mailing address
21571 BELLA TERRA BLVD, ESTERO, FL 33928-7345
(305) 764-9321

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DRP 496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001370500
FL
Enumeration date
05/30/2007
Last updated
10/11/2011
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