DR. Yelena Vladimirovna Gutnichenko, D.M.D.
NPI #1174553481 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1174553481
- Entity Type
- Individual
- Name
- DR. Yelena Vladimirovna Gutnichenko, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 695 MAIN ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-0609
- Phone
- (781) 899-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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