Organization
NORMA GUTIERREZ DDS PC
Active
Other names
AQUIA DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA D GUTIERREZ DDS (DENTIST)
(703) 587-1293
Entity
Organization
Contact information
Practice address
2712 JEFFERSON DAVIS HWY, SUITE 201, STAFFORD, VA 22554-1769
(540) 720-8630
(540) 720-8632
Mailing address
2712 JEFFERSON DAVIS HWY, SUITE 201, STAFFORD, VA 22554-1769
(540) 720-8630
(540) 720-8632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
401412787
VA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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