Individual
SVETLANA GOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
439 S UNION ST STE 117, LAWRENCE, MA 01843-2837
(978) 682-0641
(978) 682-0644
Mailing address
439 S UNION ST STE 117, LAWRENCE, MA 01843-2837
(978) 682-0641
(978) 682-0644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21614
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206211
—
MA
Enumeration date
02/26/2007
Last updated
07/08/2007
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