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NPI Code Detail

MEDICARE: DR. ADELAIDA ROMERO GUARIN DDS

MEDICARE:  DR. ADELAIDA ROMERO GUARIN  DDS
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
1122300000XDentistB41414CA

General Provider Information

NPI Number : 1639345721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADELAIDA ROMERO GUARIN DDS
Provider Business Mailing Address
First Line : 3214 NORTH BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031
Country : US
Telephone Number : 323-225-1085
Fax Number : 323-225-1093
Provider Business Practice Location Address
First Line : 3214 NORTH BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031
Country : US
Telephone Number : 323-225-1085
Fax Number : 323-225-1093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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Directions to “ DR. ADELAIDA ROMERO GUARIN DDS” Practice Location

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