Individual
DANIEL GUTIERREZ SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5355 KENT AVE, RIVERSIDE, CA 92503-2428
(951) 675-8020
Mailing address
5355 KENT AVE, RIVERSIDE, CA 92503-2428
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
77894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77894
—
CA
Enumeration date
04/20/2017
Last updated
04/20/2017
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