Organization
ULISES A GUZMAN DDS PA
Active
Other names
Guzman Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ULISES ANTONIO GUZMAN DDS (PRESIDENT)
(813) 887-5555
Entity
Organization
Contact information
Practice address
6907 W WATERS AVE, TAMPA, FL 33634-2213
(813) 887-5555
(813) 887-5556
Mailing address
6907 W WATERS AVE, TAMPA, FL 33634-2213
(813) 887-5555
(813) 887-5556
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN13659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045499000
—
FL
Enumeration date
08/21/2015
Last updated
08/21/2015
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