Provider Demographics
NPI:1003853243
Name:DARLING, EUGENIE GUZMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENIE
Middle Name:GUZMAN
Last Name:DARLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17726 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4450
Mailing Address - Country:US
Mailing Address - Phone:708-429-4700
Mailing Address - Fax:708-532-5070
Practice Address - Street 1:17726 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-3917
Practice Address - Country:US
Practice Address - Phone:708-429-4700
Practice Address - Fax:708-532-5070
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice