Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 39836 | CA |
NPI | 1003198326 |
---|---|
Provider Name | Dr. Arline G Guinto Macaraeg |
First Address | San Jose, CA 95116-1916 |
Second Address | San Jose, CA 95116-1903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2011 |
Last Update Date | 29/05/2012 |