# MICHELLE MENGTAO GUO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225269046
- **Gender:** F
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020128 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 30.023090 | OH | — |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 03/28/2022