Individual
DR. RICHARD ANTHONY GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1601 BURMIKCA CT NW, POULSBO, WA 98370-7143
(760) 525-4223
Mailing address
1601 BURMIKCA CT NW, POULSBO, WA 98370-7143
(360) 917-4593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7701
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7701
DENTAL LICENSE
OR
Enumeration date
01/12/2006
Last updated
06/23/2021
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