Individual
DR. ANDREW ARCHIBAL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
344 HEARD STREET, BUILDING 556, SCHOFIELD BARRACKS, HI, SCHOFIELD BARRRACKS, HI 96857
(808) 655-8800
Mailing address
344 HEARD STREET, BUILDING 556, SCHOFIELD BARRRACKS, HI 96857
(808) 655-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-10003
CO
1223G0001X
General Practice Dentistry
DEN-10003
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10643
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN-10003
CO
Other
Enumeration date
08/10/2009
Last updated
10/14/2022
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