Individual
DR. TIMOTHY LEE GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1800 VINE ST, DENVER, CO 80206-1122
(303) 377-2345
Mailing address
1800 VINE ST, DENVER, CO 80206-1122
(303) 377-2345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203263
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000164949
—
CO
Enumeration date
07/18/2017
Last updated
01/30/2019
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