Guan, Gloria

Guan, Gloria is an individual health care provider with primary practice located at 2828 International Cir Suite 100, Colorado Springs CO 80910-3127. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Guan, Gloria can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
2828 International Cir Suite 100 Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 54145 California
Dental Providers / Dentist 122300000X 9199 North Carolina
Dental Providers / Pediatric Dentistry 1223P0221X DR60353632 Washington
Dental Providers / Pediatric Dentistry 1223P0221X DEN.00202661 Colorado

Profile Details

NPI number 1376676353
LBN Legal business name Guan, Gloria
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376676353 NPPES
Colorado MEDICAID 11370866

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