Provider Demographics
NPI:1295863660
Name:MARIA TERESA A. DE GUIA, D.D.S., INC.
Entity Type:Organization
Organization Name:MARIA TERESA A. DE GUIA, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:ARGUELLES
Authorized Official - Last Name:DE GUIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-337-2600
Mailing Address - Street 1:15712 ARROW HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:IRWINDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91706-2005
Mailing Address - Country:US
Mailing Address - Phone:626-337-2600
Mailing Address - Fax:626-337-2644
Practice Address - Street 1:15712 ARROW HWY
Practice Address - Street 2:
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91706-2005
Practice Address - Country:US
Practice Address - Phone:626-337-2600
Practice Address - Fax:626-337-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty