| Ulises A Guzman Dds Pa | |
|
6907 W Waters Ave Tampa FL 33634-2213 | |
| (813) 887-5555 | |
| (813) 887-5556 |
| Full Name | Ulises A Guzman Dds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6907 W Waters Ave, Tampa, Florida |
| Authorized Official Name and Position | Ulises Antonio Guzman (PRESIDENT) |
| Authorized Official Contact | 8138875555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulises A Guzman Dds Pa 6907 W Waters Ave Tampa FL 33634-2213 Ph: (813) 887-5555 | Ulises A Guzman Dds Pa 6907 W Waters Ave Tampa FL 33634-2213 Ph: (813) 887-5555 |
| NPI Number | 1982070215 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982070215 | NPI | - | NPPES |
| 0045499000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN13659 (Florida) | Primary |
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