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Individual

BARRY J BLUTIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
359 E MAIN ST, MOUNT KISCO, NY 10549-3028
(914) 241-3936
(914) 241-3936
Mailing address
359 E MAIN ST, MOUNT KISCO, NY 10549-3028
(914) 241-3936
(914) 241-3936

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031632
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00757617
NY
Enumeration date
12/16/2005
Last updated
07/08/2007
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