Individual
MARLEN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8420 NW 138TH TER, #2902, MIAMI LAKES, FL 33016-6589
(305) 733-9842
Mailing address
8420 NW 138TH TER, #2902, MIAMI LAKES, FL 33016-6589
(305) 733-9842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20998
FL
Other
Enumeration date
11/15/2014
Last updated
04/15/2015
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