IndividualActive
Angel Guardiola, DMD
NPI 1689791519 · Pediatric Dentistry · Jonesboro, GA
Provider details
- NPI number
- 1689791519
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8188 (GA)
Specialties & taxonomies
Dental Providers
Practice location
405 Arrowhead Blvd
Jonesboro, GA 30236-1254
Phone: (770) 471-2003
Approximate (ZIP-level) locationGet directions
Mailing address
405 Arrowhead Blvd
Jonesboro, GA 30236-1254
Registry dates
- Enumerated
- 2007-03-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.