Individual
DR. GARY WAYNE GUREN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20508 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-2900
(216) 663-2292
(216) 663-2294
Mailing address
320 BLOSSOM LN, ORANGE VILLAGE, OH 44022-5108
(440) 349-1188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290126
—
OH
01
—
341940255030
CASRESOURCE
OH
Enumeration date
04/04/2006
Last updated
07/08/2007
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