Provider Demographics
NPI:1871471557
Name:GUADALUPE PAPALOTZIN DDS CORP
Entity type:Organization
Organization Name:GUADALUPE PAPALOTZIN DDS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPALOTZIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-548-4849
Mailing Address - Street 1:928 CORBY AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-6106
Mailing Address - Country:US
Mailing Address - Phone:707-548-4849
Mailing Address - Fax:
Practice Address - Street 1:2921 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2715
Practice Address - Country:US
Practice Address - Phone:707-544-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty