Gutierrez, Ismael

Gutierrez, Ismael is an individual health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Gutierrez, Ismael can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6258
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X Georgia

Profile Details

NPI number 1336587948
LBN Legal business name Gutierrez, Ismael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 6th, 2013 - about 12 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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