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1861564429
GUSTAVO ENRIQUE FUENTES
FORT MYERS, FL
NPI
1861564429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: FL DN12498)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
DR. GUSTAVO ENRIQUE FUENTES D.M.D.
13650 METROPOLIS AVE SUITE 106
FORT MYERS, FL 33912-4375
Phone number: 239-561-3636
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Mailing Address
DR. GUSTAVO ENRIQUE FUENTES D.M.D.
13650 METROPOLIS AVE SUITE 106
FORT MYERS, FL 33912-4375
Phone number: 239-561-3636
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