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Organization
MARIA TERESA R DE GUZMAN DDS CORP
Active
Organization
MARIA TERESA R DE GUZMAN DDS CORP
Active
Other names
MyToothSpa Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ESCANO DE GUZMAN (ADMINISTRATOR)
(916) 919-5721
Entity
Organization
Contact information
Practice address
6600 MADISON AVE, SUITE 3, CARMICHAEL, CA 95608-0645
(916) 863-2660
(916) 910-0753
Mailing address
5060 SUNRISE BLVD, STE A3, FAIR OAKS, CA 95628-4944
(916) 863-0456
(916) 910-0751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41390
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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