Provider Demographics
NPI:1215204516
Name:GUERRERO, PATRICIA A (DDS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:GUERRERO
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 1:27730 MCBEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1430
Mailing Address - Country:US
Mailing Address - Phone:661-296-3300
Mailing Address - Fax:661-296-3399
Practice Address - Street 1:27730 MCBEAN PKWY
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-1430
Practice Address - Country:US
Practice Address - Phone:661-296-3300
Practice Address - Fax:661-296-3399
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice