Individual
ANGEL M GUARDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
405 ARROWHEAD BLVD, JONESBORO, GA 30236-1254
(770) 471-2003
Mailing address
405 ARROWHEAD BLVD, JONESBORO, GA 30236-1254
(770) 471-2003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8188
GA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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