Provider Demographics
NPI:1346343902
Name:GUZMAN, DAHLIA E (DDS)
Entity Type:Individual
Prefix:
First Name:DAHLIA
Middle Name:E
Last Name:GUZMAN
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 1:21318 PROVINCIAL BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7580
Mailing Address - Country:US
Mailing Address - Phone:281-398-0337
Mailing Address - Fax:281-398-9825
Practice Address - Street 1:21318 PROVINCIAL BLVD
Practice Address - Street 2:STE 102
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7580
Practice Address - Country:US
Practice Address - Phone:281-398-0337
Practice Address - Fax:281-398-9825
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX44832OtherDENT