Individual
DR. TARCISIO ALEXANDER AMAYA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
(202) 483-0302
Mailing address
532 PALMTREE DR, GAITHERSBURG, MD 20878-2930
(240) 426-4404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17023
MD
Other
Enumeration date
07/22/2019
Last updated
10/10/2023
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