Organization
DENTISTS DYNAMIC SERVICES INC
Active
Other names
DEGUZMAN CHILDRENS DENTISTRY AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ESCANO DE GUZMAN SR. (ADMINISTRATOR)
(916) 919-5721
Entity
Organization
Contact information
Practice address
5060 SUNRISE BLVD, SUITE A5, FAIR OAKS, CA 95628-4944
(916) 910-0708
(916) 910-0751
Mailing address
5060 SUNRISE BLVD, SUITE A5, FAIR OAKS, CA 95628-4944
(916) 910-0708
(916) 910-0751
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41390
CA
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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