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Individual

DR. DON P GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1441 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5610
(505) 255-9859
(505) 268-4073
Mailing address
1441 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5610
(505) 255-9859
(505) 268-4073

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NM1555
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008488
NM
Enumeration date
10/13/2005
Last updated
07/08/2007
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