MEDICARE: CATHERINE GUERRERO

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	122300000X	Dentist	D008925	AZ

General Provider Information

NPI Number	:	1487074803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GUERRERO

Provider Business Mailing Address
First Line	:	6825 E DIAMOND ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3255
Country	:	US
Telephone Number	:	602-841-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 W BETHANY HOME RD
Second Line	:	SUITE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85015-1850
Country	:	US
Telephone Number	:	602-841-4400
Fax Number	:	602-841-4404

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

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	04/24/2014

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Directions to “ CATHERINE GUERRERO ” Practice Location

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