Individual
DR. DANIEL REUBEN GOTLIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
G-6061 NORTH SAGINAW RD, MOUNT MORRIS, MI 48458
(810) 787-6332
Mailing address
28405 BROOKS LN, SOUTHFIELD, MI 48034-2090
(248) 355-4918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12393
MI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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