Provider Demographics
NPI:1023133196
Name:GUEL, JORGE A (DDS)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:A
Last Name:GUEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 SE MILITARY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-3894
Mailing Address - Country:US
Mailing Address - Phone:210-533-1100
Mailing Address - Fax:210-333-3363
Practice Address - Street 1:3138 SE MILITARY DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3894
Practice Address - Country:US
Practice Address - Phone:210-533-1100
Practice Address - Fax:210-333-3363
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX153231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice