Organization
JEROME A GUTTMAN DENTAL PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME ALAN GUTTMAN D.D.S. (PRESIDENT)
(310) 827-5094
Entity
Organization
Contact information
Practice address
211 CULVER BLVD, SUITE T, PLAYA DEL REY, CA 90293-7788
(310) 827-5094
(310) 821-3417
Mailing address
211 CULVER BLVD, SUITE T, PLAYA DEL REY, CA 90293-7788
(310) 827-5094
(310) 821-3417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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