Individual
DR. DENNIS J. GUARDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 W MAIN ST, MOUNT OLIVE, IL 62069-1640
(217) 999-6211
Mailing address
312 W MAIN ST, MOUNT OLIVE, IL 62069-1640
(217) 999-6211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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