Individual
DR. EDUARDO GABUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22012 AVALON BLVD, CARSON, CA 90745-3307
(310) 834-8963
(310) 834-7312
Mailing address
22012 AVALON BLVD, CARSON, CA 90745-3307
(310) 834-8963
(310) 834-7312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D36539
DENTICAL PROVIDER NUMBER
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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