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Organization
ENRICO J RIDEAU DDS A DENTAL CORPORATION
Active
Organization
ENRICO J RIDEAU DDS A DENTAL CORPORATION
Active
Other names
PLAZA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL ALATORRE (BUSINESS ADMINISTRATOR)
(310) 515-5511
Entity
Organization
Contact information
Practice address
14240 S VERMONT AVE, GARDENA, CA 90247-2208
(310) 515-5511
Mailing address
14240 S VERMONT AVE, GARDENA, CA 90247-2208
(310) 515-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31690
CA
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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