Individual
DR. GUOQIANG GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(716) 604-2071
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(716) 604-2071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057677
NY
122300000X
Dentist
DS040507
PA
Other
Enumeration date
03/01/2010
Last updated
09/23/2016
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