Individual
DR. DANIEL GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
517 MAIN ST, FENTON, MO 63026-4103
(636) 343-1400
Mailing address
6955 MAGONA CT, MARYVILLE, IL 62062-8554
(618) 550-2485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017019886
MO
Other
Enumeration date
06/18/2017
Last updated
04/14/2021
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