Individual
GARY WILLIAM CUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 CAMINO DE SALUD NE, SUITE 1100, ALBUQUERQUE, NM 87102-4516
(505) 925-7755
(505) 925-7800
Mailing address
1730 SOPLO RD SE, ALBUQUERQUE, NM 87123-4485
(505) 925-7755
(505) 925-7800
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DD2136
NM
1223G0001X
General Practice Dentistry
30-01-9397
OH
1223G0001X
General Practice Dentistry
DD2136
NM
Other
Enumeration date
07/05/2005
Last updated
01/05/2024
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