Individual
DR. CHARLES GUERIN ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
251 MAIN ST, DALTON, MA 01226-1642
(413) 684-1240
Mailing address
251 MAIN ST, DALTON, MA 01226-1642
(413) 684-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10161
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/23/2006
Last updated
07/08/2007
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