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Provider Information for 1598811846

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JEROME ALAN GUTTMAN D.D.S.

Gender: MALE

Individual NPI: 1598811846

Calendar   Last Updated:  2011-02-07
  Certification Date: 

Details

Name Value
NPI 1598811846
Enumeration Date 2007-01-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 211 CULVER BLVD SUITE T
PLAYA DEL REY, CA 90293-7788
United States

Phone: 310-827-5094 | Fax: 310-821-3417
View Map External Link
Primary Practice Address 211 CULVER BLVD SUITE T
PLAYA DEL REY, CA 90293-7788
United States

Phone: 310-827-5094 | Fax: 310-821-3417
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 29600