IndividualActive
Alexis Guajardo, DENTAL ASSISTANT
NPI 1730847583 · Dental Assistant · Saint Clair, MO
Provider details
- NPI number
- 1730847583
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASSISTANT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
105 Diane Ct
Saint Clair, MO 63077-1616
Phone: (719) 526-5537
Approximate (ZIP-level) locationGet directions
Mailing address
1667 Cochrane Cir
Fort Carson, CO 80913-4603
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.