Individual
DR. ROBERT MARTIN GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 LLOYD LN, LLOYD HARBOR, NY 11743-9704
(631) 385-4697
(631) 385-4697
Mailing address
30 LLOYD LN, LLOYD HARBOR, NY 11743-9704
(631) 385-4697
(631) 385-4697
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21890
NY
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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