Provider Demographics
NPI:1578893939
Name:DE GUZMAN, ANNA LYNN TONGSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNA LYNN
Middle Name:TONGSON
Last Name:DE GUZMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:112 E COLLEGE WAY
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2305
Mailing Address - Country:US
Mailing Address - Phone:714-875-6351
Mailing Address - Fax:
Practice Address - Street 1:906 S SUNSET AVE STE 105
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3400
Practice Address - Country:US
Practice Address - Phone:626-480-1543
Practice Address - Fax:626-480-0622
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA578141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry