DR. Juan Carlos Gutierrez, D.D.S.

NPI #1689768780 in Manor, Texas

Provider Information

NPI Number: 1689768780
Entity Type: Individual
Name: DR. Juan Carlos Gutierrez, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 3, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 14001 SHADOW GLEN BLVD
City: Manor
State: Texas
ZIP Code: 78653-3376
Phone: (512) 278-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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