| Guerguis Professional Dental, Inc. | |
|
12657 166th St Cerritos CA 90703-2101 | |
| (562) 926-6502 | |
| Not Available |
| Full Name | Guerguis Professional Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12657 166th St, Cerritos, California |
| Authorized Official Name and Position | Ihaab Wadie Guerguis (PRESIDENT) |
| Authorized Official Contact | 5629266502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guerguis Professional Dental, Inc. 12657 166th St Cerritos CA 90703-2101 Ph: (562) 926-6502 | Guerguis Professional Dental, Inc. 12657 166th St Cerritos CA 90703-2101 Ph: (562) 926-6502 |
| NPI Number | 1578024691 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578024691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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