Dr. Juan Antonio Gutierrez, D.D.S.
Dentist, General Practice in San Antonio, TX. Individual provider (NPI-1).
NPI number1760639504
StatusActive
Last updated in NPPESApr 19, 2009
Details
- NPI
- 1760639504
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juan Antonio Gutierrez
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2008
- Last updated
- Apr 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 23957 | TX | Yes |
Practice location
1100 Nw Loop 410Suite #211
San Antonio, TX 78213-2263
Phone 210-342-7181 · Fax 210-342-3598
Mailing address
1100 Nw Loop 410Suite #211
San Antonio, TX 78213-2263
Phone 210-342-7181 · Fax 210-342-3598
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