Individual
DR. GUADALUPE GUTIERREZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2615 N FRUITLAND LN, COEUR D ALENE, ID 83815-7914
(208) 765-3301
Mailing address
9530 S EASTERN AVE STE 160, LAS VEGAS, NV 89123-8036
(725) 331-3291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4664
ID
1223G0001X
General Practice Dentistry
7888
NV
Other
Enumeration date
08/27/2015
Last updated
08/21/2024
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