Provider Demographics
NPI:1700047271
Name:CLEMENTS, VANESA GUERRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VANESA
Middle Name:GUERRA
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9090 SKILLMAN ST STE 200C
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8263
Mailing Address - Country:US
Mailing Address - Phone:214-342-5757
Mailing Address - Fax:214-340-4868
Practice Address - Street 1:13331 PRESTON RD STE 1134
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-1140
Practice Address - Country:US
Practice Address - Phone:972-991-4867
Practice Address - Fax:214-420-4859
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice