# ELEANOR DE GUZMAN DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063968162
- **Authorized official:** ELEANOR DE GUZMAN (PRESIDENT)
- **Authorized official phone:** (661) 600-7112

## Contact information

- **Practice address:** 24148 LYONS AVE, SANTA CLARITA, CA 91321-2442
- **Practice address phone:** (661) 888-4980
- **Mailing address:** 24148 LYONS AVE, SANTA CLARITA, CA 91321-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 52836 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016
