Provider Demographics
NPI:1104964261
Name:GUZMAN-MARASIGAN, BARBARA P (DDS)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:P
Last Name:GUZMAN-MARASIGAN
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 1:1400 E PLAZA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-3614
Mailing Address - Country:US
Mailing Address - Phone:619-477-1800
Mailing Address - Fax:619-477-1810
Practice Address - Street 1:1400 E PLAZA BLVD STE A
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3614
Practice Address - Country:US
Practice Address - Phone:619-708-6378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice