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Organization

USCG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAREN LYNN GORDON RDH (DENTAL HYGIENIST)
(727) 393-7269
Entity
Organization

Contact information

Practice address
10569 LAKE BREEZE DR, SEMINOLE, FL 33772-4333
(727) 393-7269
Mailing address
10569 LAKE BREEZE DR, SEMINOLE, FL 33772-4333

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH19214
FL

Other

Enumeration date
02/09/2007
Last updated
06/16/2008
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