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1174100903
SHAWN GHODS
PORT ST LUCIE, FL
NPI
1174100903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL 25701)
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
Dr. SHAWN GHODS DMD
1130 SW ST LUCIE W BLVD SUITE #206
PORT ST LUCIE, FL 34986
Phone number: 772-807-1451
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Mailing Address
Dr. SHAWN GHODS DMD
5311 NW TORINO LAKES CIR
PORT ST LUCIE, FL 34986-3239
Phone number: 571-442-4884
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