Provider Demographics
NPI:1326194549
Name:DE GUIA, MARIA TERESA ARGUELLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA TERESA
Middle Name:ARGUELLES
Last Name:DE GUIA
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 1:15712 ARROW HWY
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice