Individual
DR. CHRISTINE GUTIERREZ ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
66 W MAIN ST, BRONSON, FL 32621-6338
(352) 486-5300
(352) 486-5307
Mailing address
66 W MAIN ST, BRONSON, FL 32621-6338
(352) 486-5300
(352) 486-5307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15416
FL
1223P0221X
Pediatric Dentistry
DN 15416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075720900
—
FL
Enumeration date
03/01/2007
Last updated
03/07/2023
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