Jose De La Guerra, DMD

NPI #1437724481 in Chicago, Illinois

Provider Information

NPI Number: 1437724481
Entity Type: Individual
Name: Jose De La Guerra, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Credential: DMD
Enumeration Date: May 21, 2021
Last Updated: Sep 8, 2021

Practice Location

Address: 1969 W OGDEN AVE
City: Chicago
State: Illinois
ZIP Code: 60612-3765
Phone: (312) 864-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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