Sergio Ivan Guzman, DDS
Dentist, Pediatric Dentistry in Mission, TX. Individual provider (NPI-1).
NPI number1497945679
StatusActive
Last updated in NPPESSep 6, 2008
Details
- NPI
- 1497945679
- Entity type
- Individual (NPI-1)
- Name
- Sergio Ivan Guzman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- Sep 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 22644 | TX | Yes |
Practice location
1317 St Claire Blvd Ste A3Mission, TX 78572-6636
Phone 956-581-4403 · Fax 956-581-2242
Mailing address
1317 St Claire Blvd Ste A3Mission, TX 78572-6636
Phone 956-581-4403 · Fax 956-581-2242
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