MEDICARE: DR. ALEXANDER TAN GUARING 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
1	1223G0001X	General Practice Dentistry	035894	CA

General Provider Information

NPI Number	:	1144405929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER TAN GUARING DMD

Provider Business Mailing Address
First Line	:	16044 AMAR RD
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91744-2203
Country	:	US
Telephone Number	:	626-330-9342
Fax Number	:	626-333-5473

Provider Business Practice Location Address
First Line	:	16044 AMAR RD
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91744-2203
Country	:	US
Telephone Number	:	626-330-9342
Fax Number	:	626-333-5473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2007
Last Update Date	:	12/30/2007

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