Organization
GUTIERREZ ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GUTIERREZ PULIDO DDS (ORTHODONTIST)
(650) 477-4101
Entity
Organization
Contact information
Practice address
4420 SONOMA RANCH BLVD, SUITE A, LAS CRUCES, NM 88011-8801
(650) 477-4101
Mailing address
4041 DEMOS AVE, LAS CRUCES, NM 88011-4210
(650) 477-4101
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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