Individual
SEBASTIAN GUTIERREZ DE PINERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
5510 E 41ST ST STE C, TULSA, OK 74135-6037
(918) 641-4635
Mailing address
7322 E 91ST ST, TULSA, OK 74133-6016
(305) 979-0631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
244
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7866
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2018
Last updated
07/23/2024
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