Provider Information for 1073745154
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Dr. ERAN JAMES GUTKIN DMD
Sex: Male
NPI: 1073745154
Last Updated: 2020-11-03
Certification Date: 2020-11-03
Certification Date: 2020-11-03
Details
| Name | Value | ||||||||
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| NPI | 1073745154 | ||||||||
| Enumeration Date | 2009-08-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3203 W MCGRAW ST STE 201 SEATTLE, WA 98199-3236 United States Phone: 206-283-0964 | Fax: | ||||||||
| Primary Practice Address | 2530 15TH AVE W STE A SEATTLE, WA 98119-2188 United States Phone: 206-283-0964 | Fax:206-283-0965 | ||||||||
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