Individual
ELLEN D GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
103 LAKE SHORE DR, BREWSTER, MA 02631-2429
(877) 654-7878
Mailing address
PO BOX 990284, BOSTON, MA 02199-0284
(508) 237-5378
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5762
MA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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