Most Relevant Information
Provider Data
| NPI Number: | 1003517749 |
| Provider Name: | RAQUEL NICOLE GUERRA |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2023 |
| Last Updated: | 03/10/2023 |
Provider Practice Location
2409 CLARK ST APT 207
DALLAS
TX
752042469
Practice Location Phone/Fax
| Phone: | 2147628815 |
| Fax: |
Provider Mailing Location
3302 GASTON AVE
DALLAS
TX
752462013
Provider Mailing Phone/Fax
| Phone: | 2148288215 |
| Fax: |