Provider Demographics
NPI:1144405929
Name:GUARING, ALEXANDER TAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:TAN
Last Name:GUARING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16044 AMAR RD
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91744-2203
Mailing Address - Country:US
Mailing Address - Phone:626-330-9342
Mailing Address - Fax:626-333-5473
Practice Address - Street 1:16044 AMAR RD
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91744-2203
Practice Address - Country:US
Practice Address - Phone:626-330-9342
Practice Address - Fax:626-333-5473
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0358941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice