Individual provider · Type 1 NPI

Jose De la Guerra, DMD

Oral and Maxillofacial Surgery Clinic/Center · Chicago, IL

NPI number 1437724481 Active

Practice location

1969 W Ogden Ave
Chicago, IL 60612-3765

Call (312) 864-6000 Map

Mailing address

104 Private Pl
Greenacres, FL 33413-2147

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1437724481

Jose De la Guerra, DMD's National Provider Identifier is 1437724481, issued on May 21, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Chicago, IL. The record was last updated on Sep 8, 2021.