Provider Demographics
NPI:1396842969
Name:TUAZON, JHOANNA FRANCEL GUZMAN (DMD)
Entity Type:Individual
Prefix:
First Name:JHOANNA
Middle Name:FRANCEL GUZMAN
Last Name:TUAZON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 SAND CREEK RD STE A4
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-7066
Mailing Address - Country:US
Mailing Address - Phone:925-240-8210
Mailing Address - Fax:925-240-0856
Practice Address - Street 1:2540 SAND CREEK RD STE A4
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-7066
Practice Address - Country:US
Practice Address - Phone:925-240-8210
Practice Address - Fax:925-240-0856
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA450461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice