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Organization
MARIA TERESA R DE GUZMAN DDS CORP INC
Active
Organization
MARIA TERESA R DE GUZMAN DDS CORP INC
Active
Other names
MyToothSpa Dentistry & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ESANO DE GUZMAN SR. (ADMINISTRATOR)
(916) 919-5721
Entity
Organization
Contact information
Practice address
5060 SUNRISE BLVD, SUITE A1, FAIR OAKS, CA 95628-4944
(916) 863-0456
(916) 910-0751
Mailing address
5060 SUNRISE BLVD, SUITE A4, FAIR OAKS, CA 95628-4944
(916) 919-5721
(916) 910-0751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41390
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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