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Individual

ALEJANDRO JOSE BAEZ GUTIERREZ

Active
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Individual

ALEJANDRO JOSE BAEZ GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN060602
NY
1223P0300X
Periodontics
Primary
DN28929
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060602
NY DENTAL LICENSE
NY
01
—
28929
FLORIDA DENTAL LICENSE
FL
Enumeration date
03/10/2018
Last updated
12/11/2025
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