Provider Demographics
NPI:1124213111
Name:GUZEK, MARY ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELIZABETH
Last Name:GUZEK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:69 HIGH ST
Mailing Address - Street 2:UNIT #1
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-3023
Mailing Address - Country:US
Mailing Address - Phone:917-386-8803
Mailing Address - Fax:617-337-5711
Practice Address - Street 1:69 HIGH ST
Practice Address - Street 2:UNIT#1
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-3023
Practice Address - Country:US
Practice Address - Phone:917-386-8803
Practice Address - Fax:617-337-5711
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2010-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA219961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics