Organization
ACE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS M GUTIERREZ D.D.S. (OWNER)
(713) 928-5400
Entity
Organization
Contact information
Practice address
5208 HARRISBURG BLVD, SUITE A, HOUSTON, TX 77011-4230
(713) 928-5400
(713) 928-5534
Mailing address
5208 HARRISBURG BLVD, SUITE A, HOUSTON, TX 77011-4230
(713) 928-5400
(713) 928-5534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009822002
—
TX
Enumeration date
02/01/2008
Last updated
02/01/2008
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