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Organization
MARICEL B GUARIN-FORTIN DDS INC
Active
Organization
MARICEL B GUARIN-FORTIN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICEL B GUARIN-FORTIN DDS (PRESIDENT)
(818) 545-7270
Entity
Organization
Contact information
Practice address
1439 E COLORADO ST, GLENDALE, CA 91205-1511
(818) 545-7270
Mailing address
1439 E COLORADO ST, GLENDALE, CA 91205-1511
(818) 545-7270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B46812
CA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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