Individual
PAUL MARTIN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
366 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7287
(702) 464-3090
Mailing address
366 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7287
(915) 799-4168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7966
NV
Other
Enumeration date
08/23/2021
Last updated
03/26/2024
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