Individual
TIMOTHY GEORGE GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1006 S. 64TH AVE., SUITE 130, YAKIMA, WA 98908
(509) 965-0080
(509) 965-7328
Mailing address
1006 S. 64TH AVE., SUITE 130, YAKIMA, WA 98908
(509) 965-0080
(509) 965-7328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046958
—
WA
Enumeration date
08/08/2006
Last updated
08/10/2018
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