# ADA GRUITA, A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro Health Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982023792
- **Authorized official:** MRS. ADA GRUITA DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (949) 525-8238

## Contact information

- **Practice address:** 27680 SANTA MARGARITA PKWY, MISSION VIEJO, CA 92691-6674
- **Practice address phone:** (949) 916-6868
- **Practice address fax:** (949) 916-6869
- **Mailing address:** 15 SAINT PIERRE, TRABUCO CANYON, CA 92679-3724
- **Mailing address phone:** (949) 525-8238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 49537 | CA | Yes |

## Other

- **Enumeration date:** 04/09/2014
- **Last updated:** 04/09/2014
