Individual
MANUEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
41620 W MARICOPA CASA GRANDE HWY STE 110, MARICOPA, AZ 85138-3217
(520) 568-2800
Mailing address
2835 W CHANUTE PASS, PHOENIX, AZ 85041-3448
(602) 384-8139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9728
AZ
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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