Dr. Gudella San Juan Licaros is a Lancaster, Pennsylvania based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gudella San Juan Licaros is DS037692 for Dentistry in Pennsylvania. Her current practice location is 2135 Noll Drive, Suite C, Lancaster. Patients can reach her at 717-397-7625.
Dr. Gudella San Juan Licaros is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gudella San Juan Licaros speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gudella San Juan Licaros
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2135 Noll Drive, Suite C, Lancaster, Pennsylvania, 17603
Phone:
717-397-7625
Fax:
717-397-6057
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1669445730
NPI Enumeration Date:
09 Feb, 2006
NPI Last Update On:
09 Mar, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gudella San Juan Licaros are as mentioned below.
License Number
Specialization
State
Status
DS037692
Dentistry
Pennsylvania
Primary
043676
General Practice Dentistry
New York
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2135 Noll Drive, Suite C Lancaster, Pennsylvania
Zip:
17603
Phone Number:
717-397-7625
Fax Number:
717-397-6057
Patients can reach Dr. Gudella San Juan Licaros at 2135 Noll Drive, Suite C, Lancaster, Pennsylvania or can call to book an appointment on 717-397-7625. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.