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Organization
RUBY DACIO DDS & LUTGARDA PEREZ DDS DENTAL CORP
Active
Organization
RUBY DACIO DDS & LUTGARDA PEREZ DDS DENTAL CORP
Active
Other names
Riverwalk Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBY E DACIO DMD (CFO)
(661) 746-4067
Entity
Organization
Contact information
Practice address
9300 STOCKDALE HWY, SUITE# 500, BAKERSFIELD, CA 93311-3613
(661) 654-0758
(661) 654-0758
Mailing address
9300 STOCKDALE HWY, SUITE# 500, BAKERSFIELD, CA 93311-3613
(661) 746-4067
(661) 746-3078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44243-01
HEALTHY FAMILY
CA
05
—
G-91807-01
—
CA
Enumeration date
04/29/2008
Last updated
04/29/2008
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