| NPI | 1013070911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LEE GUTIERREZ Oral Maxillofacial Surgeon 505-881-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM 1556) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |