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Shirley Guerra, DMD

Dentist in Port Orange, FL. Individual provider (NPI-1).

NPI number1992481683
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1992481683
Entity type
Individual (NPI-1)
Name
Shirley Guerra
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2023
Certification date
Jun 16, 2023
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN28065FLYes

Practice location

1765 Dunlawton Ave Ste 103
Port Orange, FL 32127-4717

Phone 386-259-3905

Mailing address

1765 Dunlawton Ave Ste 103
Port Orange, FL 32127-4717

Phone 386-259-3905

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