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NPI Code Detail

MEDICARE: DR. ERAN J. GUTKIN DMD PS

MEDICARE: DR. ERAN J. GUTKIN DMD PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/CenterDE60102369WA

General Provider Information

NPI Number : 1295068468
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. ERAN J. GUTKIN DMD PS
Provider Business Mailing Address
First Line : 3203 W MCGRAW ST
Second Line : 201
City : SEATTLE
State : WA
Zip : 98199-3236
Country : US
Telephone Number : 206-283-0964
Fax Number :
Provider Business Practice Location Address
First Line : 3203 W MCGRAW ST
Second Line : SUITE 201
City : SEATTLE
State : WA
Zip : 98199-3236
Country : US
Telephone Number : 206-283-0964
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERAN JAMES GUTKIN
Credential : DMD
Telephone Number : 206-283-0964
Provider Enumeration Date : 09/04/2009
Last Update Date : 01/31/2012

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Directions to “DR. ERAN J. GUTKIN DMD PS ” Practice Location

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