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Organization

RITZAU DENTAL CORPORATION

Active
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Organization

RITZAU DENTAL CORPORATION

Active
Other names
Shoreline Dental Studio
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY JANE HOLTON (EXECUTIVE DIRECTOR)
(949) 498-4110
Entity
Organization

Contact information

Practice address
26302 LA PAZ RD STE 108, MISSION VIEJO, CA 92691-5327
(949) 498-4110
Mailing address
26302 LA PAZ RD STE 108, MISSION VIEJO, CA 92691-5327
(949) 498-4110

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
01/29/2021
Last updated
01/29/2021
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