Laura Guevara is a General Practice in Valders, Wisconsin. Laura Guevara practices all healthcare services and medical treatments related to General Practice. The NPI Number for Laura Guevara is 1679674477. The last update date is 2007-07-08.
Laura Guevara's current location address is 519 Christel Drive, Valders, Wisconsin. You can contact this provider via phone number 9207754531 and fax number 9207754180. The mailing address for Laura Guevara is 519 Christel Drive, Valders, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Laura Guevara |
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Address | 519 Christel Drive, Valders, Wisconsin |
Phone Number | 9207754531 |
Fax Number | 9207754180 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1679674477 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 519 Christel Drive |
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City | Valders |
State | Wisconsin (WI) |
Post Code | 54245 |
Phone Number | 9207754531 |
Fax Number | 9207754180 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 4825015 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4825015 | WI | STATE LICENSE | |
33742000 | WI | -- |
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What is the unique 10-digit identification code assigned to Laura Guevara by the Centers for Medicare & Medicaid Services?
The Laura Guevara has been issued the NPI (National Provider Identifier) 1679674477, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Laura Guevara's physical address?
The Laura Guevara is physically located at 519 Christel Drive, in the city of Valders, WI, with the postal code 54245.
What is the Laura Guevara's area of specialization and corresponding taxonomy classification?
The Laura Guevara's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679674477 to Laura Guevara?
The Laura Guevara received its 1679674477 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information related to Laura Guevara most recently updated or refreshed?
The details pertaining to the Laura Guevara, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.