Timothy L Gutierrez Dmd Pa

NPI 1013070911 - Dentist - 1223S0112X

NPI Details
NPI 1013070911
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY LEE TIMOTHY
Position ORAL MAXILLOFACIAL SURGEON
Phone (505) 881-7373
Fax (505) 881-5096
Practice Location
1513 CARLISLE BLVD NE
ALBUQUERQUE NM, 87110, US
Phone (505) 881-7373
Fax (505) 881-5096
Business Location
1513 CARLISLE BLVD NE
ALBUQUERQUE NM, 87110, US
Phone (505) 881-7373
Fax (505) 881-5096
Toxanomy
Taxonomy Code 1223S0112X
License State New Mexico
License Number 1556
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According to our database, Timothy L Gutierrez Dmd Pa NPI is 1013070911, taxonomy code is 1223S0112X and license number is 1556, license state is located at New Mexico. Timothy L Gutierrez Dmd Pa physically located at 1513 Carlisle Blvd Ne, Albuquerque NM, 87110. NPI Number 1033115704 has the healthcare provider type.

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1013070911 NPI number is provided on an as is basis without warranty of any kind. 1013070911 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy L Gutierrez Dmd Pa are for informational purposes only.