Provider Demographics
NPI:1104548551
Name:GUZMAN-CORTES, ERIKA ALEJANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ALEJANDRA
Last Name:GUZMAN-CORTES
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 1:1430 E MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4832
Mailing Address - Country:US
Mailing Address - Phone:805-922-3530
Mailing Address - Fax:
Practice Address - Street 1:1430 E MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4832
Practice Address - Country:US
Practice Address - Phone:805-922-3530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1078811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice