Organization
MICHAEL V. GUADIZ MPT, D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT GUADIZ (DENTIST)
(312) 226-1537
Entity
Organization
Contact information
Practice address
1145 W TAYLOR ST, CHICAGO, IL 60607-4221
(312) 226-1537
(312) 226-1536
Mailing address
1145 W TAYLOR ST, CHICAGO, IL 60607-4221
(312) 226-1537
(312) 226-1536
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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