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Dr. Yelena Vladimirovna Gutnichenko, DMD
General Practice Dentistry in Waltham, Massachusetts
NPI 1174553481

Yelena Vladimirovna Gutnichenko is a General Practice Dentistry based in Waltham, MA and is specialized in General Practice. Yelena Vladimirovna Gutnichenko practices in Waltham, MA and has the professional credentials of DMD. The NPI Number for Yelena Vladimirovna Gutnichenko is 1174553481 and holds a License No. 20567 (Massachusetts).

The current practice location address for Yelena Vladimirovna Gutnichenko is 695 Main St, Waltham, MA and can be reached out via phone at 781-899-7070 and via fax at 781-899-1802. You can also correspond with Yelena Vladimirovna Gutnichenko through the mailing address at 695 MAIN ST, WALTHAM, MA - 02451-0609 (mailing address contact number: 781-899-7070).

Location: 695 Main St, Waltham, MA, 02451-0609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174553481
Provider Name
Yelena Vladimirovna Gutnichenko
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
695 Main St, Waltham, MA, 02451-0609
Phone Number
781-899-7070
Fax Number
781-899-1802
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0202576 05 MA
institution
Provider Business Practice Location Address Details
Address
695 Main St
City
Waltham
State
Massachusetts
Zip
02451-0609
Phone Number
781-899-7070
Fax Number
781-899-1802
person
Provider Business Mailing Address Details
Address
695 Main St
City
Waltham
State
Massachusetts
Zip
02451-0609
Phone Number
781-899-7070
Fax Number
781-899-1802
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20567 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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