| Ricardo C. Guillen, D.d.s., P.l.l.c. | |
|
501 Moore Ave Portland TX 78374-1605 | |
| (361) 643-7811 | |
| (361) 643-4028 |
| Full Name | Ricardo C. Guillen, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 501 Moore Ave, Portland, Texas |
| Authorized Official Name and Position | Ricardo C Guillen (OWNER) |
| Authorized Official Contact | 3616437811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo C. Guillen, D.d.s., P.l.l.c. 501 Moore Ave Portland TX 78374-1605 Ph: (361) 643-7811 | Ricardo C. Guillen, D.d.s., P.l.l.c. 501 Moore Ave Portland TX 78374-1605 Ph: (361) 643-7811 |
| NPI Number | 1821460460 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821460460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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