Individual
DR. SEAN MICHAEL MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 N CALGARY CT STE 201, POST FALLS, ID 83854-4000
(309) 230-8344
Mailing address
2200 MOSER AVE APT 206, DALLAS, TX 75206-6068
(309) 230-8344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
36119
TX
1223P0221X
Pediatric Dentistry
Primary
019.033573
ID
1223P0221X
Pediatric Dentistry
36119
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
05/13/2022
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