Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 13182 | CA |
NPI | 1023181211 |
---|---|
Provider Name | Niles F Guichet |
First Address | Orange, CA 92868-3837 |
Second Address | Orange, CA 92868-3837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 08/07/2007 |