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Individual
ITZEL GUTIERREZ
Active
Individual
ITZEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14862
CT
122300000X
Dentist
22DI03152800
NJ
1223P0221X
Pediatric Dentistry
14862
CT
1223P0221X
Pediatric Dentistry
22DI03152800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
08/04/2026
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