Provider Demographics
NPI:1003198326
Name:GUINTO MACARAEG, ARLINE G (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARLINE
Middle Name:G
Last Name:GUINTO MACARAEG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N JACKSON AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1916
Mailing Address - Country:US
Mailing Address - Phone:408-258-9943
Mailing Address - Fax:408-258-9951
Practice Address - Street 1:125 N JACKSON AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1903
Practice Address - Country:US
Practice Address - Phone:408-258-9943
Practice Address - Fax:408-258-9951
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39836122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist