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Sergio Ivan Guzman, DDS
Pediatric Dentist in Mission, Texas
NPI 1497945679

Sergio Ivan Guzman is a Pediatric Dentist based in Mission, TX and is specialized in Pediatric Dentistry. Sergio Ivan Guzman practices in Mission, TX and has the professional credentials of DDS. The NPI Number for Sergio Ivan Guzman is 1497945679 and holds a License No. 22644 (Texas).

The current practice location address for Sergio Ivan Guzman is 1317 St Claire Blvd Ste A3, Mission, TX and can be reached out via phone at 956-581-4403 and via fax at 956-581-2242.

Location: 1317 St Claire Blvd Ste A3, Mission, TX, 78572-6636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497945679
Provider Name
Sergio Ivan Guzman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1317 St Claire Blvd Ste A3, Mission, TX, 78572-6636
Phone Number
956-581-4403
Fax Number
956-581-2242
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
186204704 05 TX
22644 01 TX TSBDE
186204705 05 TX
B22644-01 01 TX CHIPS
K0152252 01 TX DPS
institution
Provider Business Practice Location Address Details
Address
1317 St Claire Blvd Ste A3
City
Mission
State
Texas
Zip
78572-6636
Phone Number
956-581-4403
Fax Number
956-581-2242
person
Provider Business Mailing Address Details
Address
1317 St Claire Blvd Ste A3
City
Mission
State
Texas
Zip
78572-6636
Phone Number
956-581-4403
Fax Number
956-581-2242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22644 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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