Individual
DR. LAURA M GUSHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0952689
—
OH
01
—
341957404065
CARESOURE
OH
01
—
3579
DORAL
OH
Enumeration date
02/13/2006
Last updated
12/01/2009
Update your record
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