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Individual

DR. MICHAEL JEFFREY GUEVARA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1251 7TH ST, SLIDELL, LA 70458-2041
(985) 641-3587
(985) 641-9417
Mailing address
59050 CYPRESS BAYOU LN, LACOMBE, LA 70445-3600
(985) 882-8047

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2717
LA

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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