Individual
RAJESH GUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2003 W WALL ST, MIDLAND, TX 79701-6423
(432) 683-1863
(432) 570-8779
Mailing address
2003 W WALL ST, MIDLAND, TX 79701-6423
(432) 683-1863
(432) 570-8779
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23335
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
23335
TX
Other
Enumeration date
05/21/2007
Last updated
03/31/2015
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