| Doris A. Guevara D.d.s., Inc | |
|
652 E Regent St Inglewood CA 90301-1415 | |
| (310) 330-0604 | |
| (310) 330-0590 |
| Full Name | Doris A. Guevara D.d.s., Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 652 E Regent St, Inglewood, California |
| Authorized Official Name and Position | Doris A Guevara (OWNER) |
| Authorized Official Contact | 3103300604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doris A. Guevara D.d.s., Inc 652 E Regent St Inglewood CA 90301-1415 Ph: (310) 330-0604 | Doris A. Guevara D.d.s., Inc 652 E Regent St Inglewood CA 90301-1415 Ph: (310) 330-0604 |
| NPI Number | 1073719373 |
|---|---|
| Provider Enumeration Date | 06/23/2007 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073719373 | NPI | - | NPPES |
| G9135001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42656 (California) | Primary |
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