Provider Demographics
NPI:1003154808
Name:GUEVARRA, VERONICA CABAL (RDHAP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CABAL
Last Name:GUEVARRA
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34765 DORADO LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-8439
Mailing Address - Country:US
Mailing Address - Phone:619-929-9235
Mailing Address - Fax:208-988-3126
Practice Address - Street 1:34765 DORADO LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-8439
Practice Address - Country:US
Practice Address - Phone:619-929-9235
Practice Address - Fax:208-988-3126
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24861124Q00000X
CA455124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist