Individual
DR. JOSE MARIO GUTIERREZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7703 FLOYD CURL DR, (MSC 7914), SAN ANTONIO, TX 78229-3901
(210) 567-6300
Mailing address
25839 ECHO MTN, SAN ANTONIO, TX 78260-6287
(210) 494-4889
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12011
TX
Other
Enumeration date
12/02/2012
Last updated
12/02/2012
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