Gemma Shirani Mosher, ADT124/LDH7581 Valid NPI

Individual provider · Dental Therapist · Coon Rapids, MN

NPI

1104436138

Type

Individual (Type 1)

Primary specialty

Dental Therapist

Specialty group

Dental Providers

Taxonomy code

125J00000X

License number

DT124 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2020-08-04

Last updated

2024-04-24