Individual
DR. GLORIA GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2828 INTERNATIONAL CIR, SUITE 100, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
54145
CA
122300000X
Dentist
9199
NC
1223P0221X
Pediatric Dentistry
Primary
DEN.00202661
CO
1223P0221X
Pediatric Dentistry
DR60353632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11370866
—
CO
Enumeration date
03/13/2007
Last updated
04/04/2017
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