Individual
LUIS EDUARDO GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTAL ASSISTANT
Contact information
Practice address
5033 1/2 CLARA ST, CUDAHY, CA 90201-4532
(323) 573-4762
Mailing address
4149 TWEEDY BLVD STE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(323) 567-2929
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4480930
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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