Individual
DR. MICHAEL VINCENT GUADIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2241 THEODORE ST, CREST HILL, IL 60403-1881
(815) 741-1700
Mailing address
6964 FIELDSTONE DR, BURR RIDGE, IL 60527-6969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028328
IL
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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