Individual
DR. LUCILLE J. GUASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5700 STONERIDGE MALL RD, SUITE 290, PLEASANTON, CA 94588-2822
(925) 463-1450
Mailing address
5700 STONERIDGE MALL RD, SUITE 290, PLEASANTON, CA 94588-2822
(925) 463-1450
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
031620
CA
Other
Enumeration date
02/07/2007
Last updated
09/23/2011
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