Individual
DR. DOUGLAS B. GULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
396 LAFAYETTE ST, NEWARK, NJ 07105-2704
(973) 690-5306
Mailing address
PO BOX 5579, NEWARK, NJ 07105-0579
(973) 690-5306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01300900
NJ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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