Individual
DR. JUAN CARLOS GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14001 SHADOW GLEN BLVD, MANOR, TX 78653-3376
(512) 278-8700
Mailing address
14001 SHADOW GLEN BLVD, MANOR, TX 78653-3376
(512) 278-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23582
TX
Other
Enumeration date
10/03/2006
Last updated
06/16/2008
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