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Individual

DR. CHAD LOUIS GUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1300 N OAKLAND AVE STE B, BOLIVAR, MO 65613-3008
(417) 770-5145
Mailing address
1300 N OAKLAND AVE STE B, BOLIVAR, MO 65613-3008
(417) 770-5145

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6245250-9922
UT

Other

Enumeration date
08/05/2006
Last updated
03/14/2022
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