Individual
REUBEN G GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8400 OSUNA RD NE, SUITE 1B, ALBUQUERQUE, NM 87111-2087
(505) 293-3311
(505) 293-9847
Mailing address
8400 OSUNA RD NE, SUITE 1B, ALBUQUERQUE, NM 87111-2087
(505) 293-3311
(505) 293-9847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD 1238
NM
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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