MEDICARE: ALEXANDER T GUARING DMD INC

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

General Provider Information

NPI Number	:	1386798916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER T GUARING DMD INC

Provider Business Mailing Address
First Line	:	16044 AMAR ROAD
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 ROAD
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	:	PRESIDENT
Name	:	DR. ALEXANDER TAN GUARING
Credential	:	DMD
Telephone Number	:	626-330-9342

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

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