Individual
GUSTAVO MANUEL COUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 COMMON ST, SUITE #810, NEW ORLEANS, LA 70112-2401
(504) 529-2120
(504) 524-5039
Mailing address
1010 COMMON ST, SUITE #810, NEW ORLEANS, LA 70112-2401
(504) 529-2120
(504) 524-5039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3267
LA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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