Individual
SANDRA GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PLANT AVE, HAUPPAUGE, NY 11788-3805
(631) 273-1300
(631) 273-4342
Mailing address
148 PINE ST, APARTMENT B1, FREEPORT, NY 11520-3406
(516) 208-7969
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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