Doctor Name: | DR. GUILLERMO ENRIQUE ORRACA |
NPI Number: | 1144219411 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | 00962 |
Business Practice Address: | 15th Aeromedical-dental Squadron 755 Scott Circle Hickam Afb, HI - 968535399 |
Business Phone Number: | 3017510676 |
Business Fax Number: | |
Mailing Address: | 502 Julian Ave, HONOLULU |
State: | HI |
Postal Code: | 968184914 |
Phone Number: | 3017510676 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 00962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |