Individual
DR. GUSTAVO ENRIQUE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13650 METROPOLIS AVE, SUITE 106, FORT MYERS, FL 33912-4375
(239) 561-3636
(239) 561-3699
Mailing address
13650 METROPOLIS AVE, SUITE 106, FORT MYERS, FL 33912-4375
(239) 561-3636
(239) 561-3699
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN12498
FL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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