Provider Demographics
NPI:1366500357
Name:DE GUZMAN, ARNEL TANPOCO (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNEL
Middle Name:TANPOCO
Last Name:DE GUZMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17885 MAPLEHURST PL
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-6396
Mailing Address - Country:US
Mailing Address - Phone:661-600-7110
Mailing Address - Fax:661-309-9892
Practice Address - Street 1:24148 LYONS AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2442
Practice Address - Country:US
Practice Address - Phone:661-888-4980
Practice Address - Fax:661-370-0770
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52847122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist