Individual
PAOLA JULIETH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
5431 MYRTLE AVE, RIDGEWOOD, NY 11385-3403
(718) 456-7600
Mailing address
6107 BLEECKER ST FL 2, RIDGEWOOD, NY 11385-2619
(347) 217-7276
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023306
NY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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