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Organization
RICARDO C. GUILLEN, D.D.S., P.L.L.C.
Active
Organization
RICARDO C. GUILLEN, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO C GUILLEN D.D.S. (OWNER)
(361) 643-7811
Entity
Organization
Contact information
Practice address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Mailing address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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