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Individual

DR. ERHARD ALFRED BEUTTENMULLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10205 NORTH RIVA RIDGE LOOP, US ARMY DENTAL ACTIVITY ATTN CREDENTIALS, FORT DRUM, NY 13602-5005
(315) 772-4342
(315) 772-9692
Mailing address
10205 NORTH RIVA RIDGE LOOP, US ARMY DENTAL ACTIVITY ATT CREDENTIALS, FORT DRUM, NY 13602-5005
(315) 772-4342
(315) 772-9692

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
034583
NY

Other

Enumeration date
11/02/2005
Last updated
07/08/2007
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