Organization
MARIA TERESA R DE GUZMAN DDS CORP
Active
Other names
MYTOOTHSPA DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY E DEGUZMAN (ADMINISTRATOR)
(916) 919-5721
Entity
Organization
Contact information
Practice address
5060 SUNRISE BLVD, SUITE A1, FAIR OAKS, CA 95628-4944
(916) 863-0456
(916) 910-0751
Mailing address
5060 SUNRISE BLVD, STE A4, FAIR OAKS, CA 95628-4944
(916) 910-0708
(916) 910-0751
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
41390
CA
305R00000X
Preferred Provider Organization
Primary
41390
CA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us