MS. Alexis Marie Guajardo, DENTAL ASSISTANT
NPI #1730847583 in Saint Clair, Missouri
Provider Information
- NPI Number
- 1730847583
- Entity Type
- Individual
- Name
- MS. Alexis Marie Guajardo, DENTAL ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- DENTAL ASSISTANT
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 105 DIANE CT
- City
- Saint Clair
- State
- Missouri
- ZIP Code
- 63077-1616
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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Organizations
| Provider Name | |
|---|---|
| Fisher Dental Center |
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