Maria Teresa R De Guzman DDS Corp
NPI #1932650249 in Fair Oaks, California
Provider Information
- NPI Number
- 1932650249
- Entity Type
- Organization
- Organization Name
- Maria Teresa R De Guzman DDS Corp
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 5060 SUNRISE BLVD
- Address 2
- SUITE A1
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-4944
- Phone
- (916) 863-0456
Authorized Official
- Name
- MR. ANTHONY E DEGUZMAN
- Title
- ADMINISTRATOR
- Phone
- (916) 919-5721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Preferred Provider Organization |
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