Provider Demographics
NPI:1265582860
Name:GUECO, MARIA VICTORIA SABERON (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA VICTORIA
Middle Name:SABERON
Last Name:GUECO
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 1:32709 MIRABELLA DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-8206
Mailing Address - Country:US
Mailing Address - Phone:510-475-8601
Mailing Address - Fax:
Practice Address - Street 1:1860 ALCATRAZ AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2715
Practice Address - Country:US
Practice Address - Phone:510-280-6080
Practice Address - Fax:510-653-8698
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist