Individual
DR. GARY ALAN GUENGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 OLT AVE, PEKIN, IL 61554-6216
(309) 353-2454
Mailing address
3 OLT AVENUE, PEKIN, IL 61554-6216
(309) 353-2454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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