Provider Demographics
NPI:1609096387
Name:GUEST, DON R (DDS)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:R
Last Name:GUEST
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1791 MARLOW RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4151
Mailing Address - Country:US
Mailing Address - Phone:707-576-1240
Mailing Address - Fax:707-545-5337
Practice Address - Street 1:1791 MARLOW RD
Practice Address - Street 2:SUITE 9
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4151
Practice Address - Country:US
Practice Address - Phone:707-576-1240
Practice Address - Fax:707-545-5337
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAD221541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics