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Individual

SHAWN GUTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
725 RIVER RD STE 104, EDGEWATER, NJ 07020-1170
(201) 943-6644
Mailing address
725 RIVER RD STE 104, EDGEWATER, NJ 07020-1170

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062563
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02823100
NJ

Other

Enumeration date
07/13/2021
Last updated
10/17/2022
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