Provider Demographics
NPI:1215539044
Name:DE GUZMAN, ANGELYN ADORABLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELYN
Middle Name:ADORABLE
Last Name:DE GUZMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARIA ANGELYN KARLA
Other - Middle Name:ADORABLE
Other - Last Name:DE GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45-950 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45-950 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3260
Practice Address - Country:US
Practice Address - Phone:808-247-4291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2884122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist