Provider Demographics
NPI:1912386723
Name:GUERRA BENIQUE, HANS (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:
Last Name:GUERRA BENIQUE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 S MAIN AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:RUGBY
Mailing Address - State:ND
Mailing Address - Zip Code:58368-1733
Mailing Address - Country:US
Mailing Address - Phone:512-550-1809
Mailing Address - Fax:
Practice Address - Street 1:132 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:RUGBY
Practice Address - State:ND
Practice Address - Zip Code:58368-1733
Practice Address - Country:US
Practice Address - Phone:701-776-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1285821280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist