Individual
GABRIELA PORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9200 113TH ST N, SEMINOLE, FL 33772-3377
(727) 394-6065
Mailing address
7950 PARK BLVD N APT 4301, PINELLAS PARK, FL 33781-3765
(772) 696-3982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26930
FL
Other
Enumeration date
06/09/2022
Last updated
06/30/2022
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