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Individual

LOUIS CARMEN GUBITOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
28 JACKSON AVE, POMPTON PLAINS, NJ 07444
(973) 831-0382
(973) 831-6942
Mailing address
28 JACKSON AVE, POMPTON PLAINS, NJ 07444
(973) 831-0382
(973) 831-6942

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22D101268100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0669407
NJ
05
3165108
NJ
Enumeration date
01/23/2007
Last updated
07/08/2007
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