Individual
ELIZABETH SUTTON GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3333 BURNET AVE, DIVISION OF PEDIATRIC DENTISTRY, CINCINNATI, OH 45229-3026
(513) 636-4644
Mailing address
3333 BURNET AVE, DIVISION OF PEDIATRIC DENTISTRY, CINCINNATI, OH 45229-3026
(513) 636-4644
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.022994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3104876
—
OH
Enumeration date
07/05/2009
Last updated
12/06/2013
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