Provider Demographics
NPI:1134877897
Name:GUTIERREZ-POQUIZ, VALERIE (DDS)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:GUTIERREZ-POQUIZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 JOHN MUIR PKWY UNIT 132
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-2802
Mailing Address - Country:US
Mailing Address - Phone:510-685-3242
Mailing Address - Fax:
Practice Address - Street 1:339 E LELAND RD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4911
Practice Address - Country:US
Practice Address - Phone:925-363-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program