Individual
HUIYAN GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S
Contact information
Practice address
400C SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834-2974
(804) 526-4889
Mailing address
400C SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834-2974
(804) 823-9543
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.030964
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401415389
VA
Other
Enumeration date
10/06/2016
Last updated
03/26/2020
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