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General NPI Number Information
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NPI Number | 1689260283
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Entity Type | Organization
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Legal Business Name | MIGUEL GUERRA DDS INC
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1831 EXPOSITION BLVD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-5019
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Country | US
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Telephone | 916-330-0358
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Fax | 520-666-2310
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Provider Business Mailing Address
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Address Line | 1831 EXPOSITION BLVD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-5019
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Country | US
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Telephone | 916-337-5877
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. MIGUEL ANGEL GUERRA OLVERA
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Credential | DDS
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Telephone | 916-813-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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