Organization
MICHAEL GU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GU DDS (OWNER)
(626) 492-8618
Entity
Organization
Contact information
Practice address
41 E FOOTHILL BLVD STE 206, ARCADIA, CA 91006-2361
(626) 254-9777
Mailing address
41 E FOOTHILL BLVD STE 206, ARCADIA, CA 91006-2361
(626) 254-9777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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