Individual
LUIS D GUTIERREZ PULIDO
Active
Individual
LUIS D GUTIERREZ PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9414
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD5070
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN.00202164
CO
Other
Enumeration date
04/05/2014
Last updated
09/08/2021
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