Individual
DR. ELOY R GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1441 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5610
(505) 255-9860
Mailing address
5900 CANYON CREEK DR NE, ALBUQUERQUE, NM 87111-6614
(505) 822-8599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1199
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008358
—
NM
05
—
81810
—
NM
Enumeration date
10/13/2005
Last updated
07/09/2007
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