Mytoothspa Dentistry

LBN: Maria Teresa R De Guzman Dds Corp
Mytoothspa Dentistry is an health care organization with primary practice located at 5060 Sunrise Blvd Suite A1, Fair Oaks CA 95628-4944. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Maria Teresa R De Guzman Dds Corp can be contacted via phone (916) 863-0456, or through Deguzman, Anthony E via phone (916) 919-5721.

Contact Information

Primary practice address
5060 Sunrise Blvd Suite A1 Fair Oaks CA 95628-4944
Phone: (916) 863-0456
Fax: (916) 910-0751
Website:
Map and Directions
Authorized official contact:
Name: Deguzman, Anthony E
Phone: (916) 919-5721

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 41390 California
Managed Care Organizations / Preferred Provider Organization 305R00000X 41390 California

Profile Details

NPI number 1932650249
LBN Legal business name Maria Teresa R De Guzman Dds Corp
DBA Doing business as Mytoothspa Dentistry
Authorized official Deguzman, Anthony E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Oct 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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