Individual
MS. ROSE MARIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
1960 STANLEY RD, FT. SAM HOUSTON, US ARMY, SAN ANTONIO, TX 78234-7650
(210) 295-4156
(210) 295-5832
Mailing address
1960 STANLEY ROAD, FT. SAM HOUSTON, US ARMY, SAN ANTONIO, TX 78234
(210) 295-4156
(210) 295-5832
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6784
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
07/26/2016
Last updated
07/26/2016
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