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Organization

GUTIERREZ, VICENCIO D.D.S INC

Active
Other names
Whittier Magic Smile
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA L GUTIERREZ D.D.S (PRESIDENT)
(562) 692-5311
Entity
Organization

Contact information

Practice address
11156 WHITTIER BLVD, WHITTIER, CA 90606-1432
(562) 692-5311
(562) 692-2425
Mailing address
11156 WHITTIER BLVD, WHITTIER, CA 90606-1432
(562) 692-5311
(562) 692-2425

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D44176
CA

Other

Enumeration date
03/20/2008
Last updated
03/20/2008
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