Organization
BEAM DENTAL EDGEWATER, PC
Active
Other names
Beam St Edgewater
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN GUTMAN ORTHODONTIST (OWNER)
(201) 509-1032
Entity
Organization
Contact information
Practice address
725 RIVER RD, #104, EDGEWATER, NJ 07020
(201) 509-1032
Mailing address
P.O BOX #1238, FORT LEE, NJ 07024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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