Gutierrez, George Albert

Gutierrez, George Albert is an individual health care provider with primary practice located at 3830 Mccullough Ave Ste. 100, San Antonio TX 78212-5262. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gutierrez, George Albert can be contacted via phone (210) 824-5437.

Contact Information

Primary practice address
3830 Mccullough Ave Ste. 100 San Antonio TX 78212-5262
Phone: (210) 824-5437
Fax: (210) 826-9606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 15622 Texas

Profile Details

NPI number 1497700660
LBN Legal business name Gutierrez, George Albert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Feb 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497700660 NPPES
Texas MEDICAID 120849802

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