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1275289357
ESAU CRUZ GUTIERREZ
STONY BROOK, NY
NPI
1275289357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 063384)
Enumeration Date
2022-02-27
Last Update Date
2024-07-31
Business Address
ESAU CRUZ GUTIERREZ DDS
SUNY AT STONY BROOK AT STONY BROOK 151 WESTCHESTER HALL
STONY BROOK, NY 11794-0001
Phone number: 845-857-7574
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Mailing Address
ESAU CRUZ GUTIERREZ DDS
110 GREENE AVE
PORT JEFFERSON STATION, NY 11776-4314
Phone number: 845-857-7574
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