Provider Demographics
NPI:1164091906
Name:GUO, CHUN (DMD)
Entity Type:Individual
Prefix:
First Name:CHUN
Middle Name:
Last Name:GUO
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 1:6515 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6265
Mailing Address - Country:US
Mailing Address - Phone:303-523-2689
Mailing Address - Fax:
Practice Address - Street 1:7470 W 52ND AVE # 80002
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3710
Practice Address - Country:US
Practice Address - Phone:303-475-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist