Provider Demographics
NPI:1699985572
Name:ANGELES, EMMANUEL DE GUZMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:DE GUZMAN
Last Name:ANGELES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9824 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5906
Mailing Address - Country:US
Mailing Address - Phone:562-925-4466
Mailing Address - Fax:562-925-4466
Practice Address - Street 1:9824 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706
Practice Address - Country:US
Practice Address - Phone:562-925-4466
Practice Address - Fax:562-925-4466
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice