Individual
DR. MICHAEL R GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
817 BROADWAY, 12TH FLR, N.Y., NY 10003
(212) 777-5732
(212) 353-0736
Mailing address
600 SHORE ROAD, APT.6 G, LONG BEACH, NY 11561-4678
(516) 431-6957
(516) 431-6957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50-037576
NY
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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