Provider Demographics
NPI:1992680755
Name:GUIRGUIS, MARINA (DDS)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:GUIRGUIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E SAN MATEO CIR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-8648
Mailing Address - Country:US
Mailing Address - Phone:760-285-8042
Mailing Address - Fax:
Practice Address - Street 1:5001 E RAMON RD STE 104
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1544
Practice Address - Country:US
Practice Address - Phone:760-283-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist