Individual
DR. MICHAEL ALLAN GUBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
69 ISLAND ST # G, KEENE, NH 03431-3529
(603) 352-0272
Mailing address
54 ACREBROOK RD, KEENE, NH 03431-1903
(603) 352-3325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1269
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99001679
—
NH
Enumeration date
08/17/2006
Last updated
07/08/2007
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