Provider Demographics
NPI:1790136687
Name:GUERRERO, CHERYL KANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:KANG
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 VALLEY CENTRE DR STE 902A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3308
Mailing Address - Country:US
Mailing Address - Phone:619-660-2424
Mailing Address - Fax:
Practice Address - Street 1:3810 VALLEY CENTRE DR STE 902A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3308
Practice Address - Country:US
Practice Address - Phone:858-755-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA651711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics