Individual
DR. GILBERT TROY GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7625 W 159TH ST, TINLEY PARK, IL 60477-1492
(708) 429-4770
Mailing address
7625 W 159TH ST, TINLEY PARK, IL 60477-1492
(708) 429-4770
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.033035
IL
Other
Enumeration date
06/08/2017
Last updated
02/10/2023
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