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NPI Code Detail

MEDICARE: DR. LISA HO GUINAN DMD

MEDICARE: DR. LISA HO GUINAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry43607CA

General Provider Information

NPI Number : 1144211236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA HO GUINAN DMD
Provider Business Mailing Address
First Line : 4826 LINCOLN BLVD
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6917
Country : US
Telephone Number : 310-827-7767
Fax Number : 310-302-0431
Provider Business Practice Location Address
First Line : 4826 LINCOLN BLVD
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6917
Country : US
Telephone Number : 310-827-7767
Fax Number : 310-302-0431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LISA HO GUINAN DMD” Practice Location

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