Individual
DR. MARK JASON GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7671 QUARTERFIELD RD STE 400, GLEN BURNIE, MD 21061-4981
(410) 713-4075
Mailing address
7671 QUARTERFIELD RD STE 400, GLEN BURNIE, MD 21061-4981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031520
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18335
MD
Other
Enumeration date
05/11/2018
Last updated
03/11/2024
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