Gutierrez, Rose Marie

Gutierrez, Rose Marie is an individual health care provider with primary practice located at 1960 Stanley Rd Ft. Sam Houston, Us Army, San Antonio TX 78234-7650. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gutierrez, Rose Marie can be contacted via phone (210) 295-4156.

Contact Information

Primary practice address
1960 Stanley Rd Ft. Sam Houston, Us Army San Antonio TX 78234-7650
Fax: (210) 295-5832
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6784 Texas

Profile Details

NPI number 1699228775
LBN Legal business name Gutierrez, Rose Marie
Credentials RDH, BSDH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Jul 26th, 2016 - about 10 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 1699228775 NPPES
Texas Other 6784 TEXAS STATE BOARD OF DENTAL EXAMINERS

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