Individual
MANUEL GUERRERO ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
950 S EUCLID AVE, SAN DIEGO, CA 92114-6201
(619) 662-4100
Mailing address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31632
CA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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