Individual
DR. GEORGE MICHAEL GUISE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(858) 577-1825
Mailing address
38481 OAKTREE LOOP, MURRIETA, CA 92562-3009
(951) 795-0489
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51445
DENTAL LICENSE
CA
Enumeration date
08/30/2006
Last updated
02/04/2009
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