Individual
DR. A. AL GULUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7620 UTOPIA PKWY, FLUSHING, NY 11366-1518
(718) 969-1102
Mailing address
7620 UTOPIA PKWY, FLUSHING, NY 11366-1518
(718) 969-1102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287483
—
NY
Enumeration date
08/10/2006
Last updated
07/08/2007
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