Vitaly Gutkovich, DDS

NPI #1942490909 in Monroe, New York

Provider Information

NPI Number: 1942490909
Entity Type: Individual
Name: Vitaly Gutkovich, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 20 MILLPOND PARKWAY
Address 2: DENTAL CARE SOLUTIONS
City: Monroe
State: New York
ZIP Code: 10950
Phone: (845) 783-8741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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