Individual
GABRIEL ANIBAL BAEZA HASBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRDH
Contact information
Practice address
5868 14TH ST W, BRADENTON, FL 34207-4027
(941) 251-5924
Mailing address
5224 44TH ST E, BRADENTON, FL 34203-4022
(941) 243-8576
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH23541
FL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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