Organization
FERNANDO GUTIERREZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO GUTIERREZ DDS (DENTIST)
(954) 432-6222
Entity
Organization
Contact information
Practice address
9964 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-6222
Mailing address
9964 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-6222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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