Individual
NADIA BERENICE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 537-0700
Mailing address
120 N MAGNOLIA AVE APT 61, ANAHEIM, CA 92801-6449
(323) 308-5255
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31747
CA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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