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Organization
DORIS A. GUEVARA D.D.S., INC
Active
Organization
DORIS A. GUEVARA D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS A GUEVARA D.D.S. (OWNER)
(310) 330-0604
Entity
Organization
Contact information
Practice address
652 E REGENT ST, INGLEWOOD, CA 90301-1415
(310) 330-0604
(310) 330-0590
Mailing address
652 E REGENT ST, INGLEWOOD, CA 90301-1415
(310) 330-0604
(310) 330-0590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9135001
—
CA
Enumeration date
06/23/2007
Last updated
09/26/2014
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