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NPI Code Detail

MEDICARE: RODNEY R. GUERRERO, D.D.S., A PROFESSIONAL DENTAL CORPORATION

MEDICARE: RODNEY R. GUERRERO, D.D.S., A PROFESSIONAL DENTAL CORPORATION
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 Dentistry52056CA

General Provider Information

NPI Number : 1710994405
Entity Type Code : Organization
Provider Name (Legal Business Name) : RODNEY R. GUERRERO, D.D.S., A PROFESSIONAL DENTAL CORPORATION
Provider Business Mailing Address
First Line : 2632 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2611
Country : US
Telephone Number : 562-269-0153
Fax Number :
Provider Business Practice Location Address
First Line : 2632 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2611
Country : US
Telephone Number : 562-269-0153
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RODNEY RAMOS GUERRERO
Credential : D.D.S.
Telephone Number : 562-269-0153
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/21/2016

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