Individual
BRUNO GUTIERRES RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 BROADWAY, SOMERVILLE, MA 02144-2223
(347) 654-2914
Mailing address
1 LONGFELLOW PL, BOSTON, MA 02114-2438
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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