NPI 1639524796

Gabriel Anibal Baeza Hasbun, CRDH

Practitioner Dental Hygienist Bradenton, FL

Practice location

Address: 5868 14th St W, Bradenton, FL 34207-4027
Phone: (941) 251-5924
Mailing address: 5224 44th St E, Bradenton, FL 34203-4022

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH23541 (FL)

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Registry record

NPI: 1639524796
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2016
Record last updated: 26 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.