Individual
GEORGE ALBERT GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3830 MCCULLOUGH AVE, STE. 100, SAN ANTONIO, TX 78212-5262
(210) 824-5437
(210) 826-9606
Mailing address
3830 MCCULLOUGH AVE, STE. 100, SAN ANTONIO, TX 78212-5262
(210) 824-5437
(210) 826-9606
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120849802
—
TX
Enumeration date
05/24/2006
Last updated
02/26/2013
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