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NPI Code Detail

MEDICARE: SELINA GUO DMD

MEDICARE:   SELINA  GUO  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
11223P0700XProsthodonticsDS044521PA

General Provider Information

NPI Number : 1821971060
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELINA GUO DMD
Provider Business Mailing Address
First Line : 201 S 18TH ST APT 1401
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5944
Country : US
Telephone Number : 336-608-0102
Fax Number :
Provider Business Practice Location Address
First Line : 201 S 18TH ST APT 1401
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5944
Country : US
Telephone Number : 336-608-0102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 01/19/2026

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Directions to “ SELINA GUO DMD” Practice Location

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