Provider Demographics
NPI:1497147284
Name:GUZMAN LOPEZ, ALEJANDRA (DDS,, MS)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:
Last Name:GUZMAN LOPEZ
Suffix:
Gender:F
Credentials:DDS,, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:APT 3095
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7174
Mailing Address - Country:US
Mailing Address - Phone:832-403-8349
Mailing Address - Fax:
Practice Address - Street 1:1 HERMANN MUSEUM CIRCLE DR
Practice Address - Street 2:APT 3095
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7174
Practice Address - Country:US
Practice Address - Phone:832-403-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28552122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist