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Individual

EDMUND GUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
18 ENDEAVOR, SUITE 308, IRVINE, CA 92618-3164
(949) 551-8877
Mailing address
18 ENDEAVOR, SUITE 308, IRVINE, CA 92618-3164
(949) 551-8877

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52727
CA
1223P0221X
Pediatric Dentistry
DS037734
PA

Other

Enumeration date
03/03/2009
Last updated
06/22/2012
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