Individual
TINA F. GAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1008 S MAIN ST, DANVILLE, VA 24541-4004
(434) 797-8548
Mailing address
1008 S MAIN ST, DANVILLE, VA 24541-4004
(434) 797-8548
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402004170
VA
124Q00000X
Dental Hygienist
5200
NC
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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