MEDICARE: DEAN GUIDA DEAN GUIDA, D.C.

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	111N00000X	Chiropractor	9338	TX

General Provider Information

NPI Number	:	1437357266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN GUIDA DEAN GUIDA, D.C.

Provider Business Mailing Address
First Line	:	15-2874 PAHOA VILLAGE RD # 9016
Second Line	:
City	:	PAHOA
State	:	HI
Zip	:	96778-7720
Country	:	US
Telephone Number	:	713-569-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	15-2874 PAHOA VILLAGE RD # 9016
Second Line	:
City	:	PAHOA
State	:	HI
Zip	:	96778-7720
Country	:	US
Telephone Number	:	713-569-3171
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/29/2008

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