Agnini, Derry Gushen
Agnini, Derry Gushen is an sole proprietor health care provider with primary practice located at 39863 Highway 27 , Davenport FL 33837-7802. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Agnini, Derry Gushen can be contacted via phone (863) 353-6867.Contact Information
Primary practice address
39863 Highway 27
Davenport FL 33837-7802
Phone: (863) 353-6867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN 16647 | Florida |
Profile Details
| NPI number | 1417283649 |
|---|---|
| LBN Legal business name | Agnini, Derry Gushen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2009 |
| Last updated | Feb 25th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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