Organization · Type 2 NPI

Gutierrez, Vicencio, Dominguez DDS Inc

Dental Clinic/Center · Santa Ana, CA

NPI number 1386830438 Active

Practice location

2112 N Main St, Suite # 100
Santa Ana, CA 92706-2739

Call (714) 835-6677 Map

Fax (714) 558-6892

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD44176 (CA)

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About NPI 1386830438

Gutierrez, Vicencio, Dominguez DDS Inc's National Provider Identifier is 1386830438, issued on Sep 22, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 22, 2007.