Organization
KRISTEN RITZAU DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RITZAU DDS (OWNER)
(949) 498-4110
Entity
Organization
Contact information
Practice address
122 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672-4039
(949) 498-4110
(949) 498-8657
Mailing address
122 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672-4039
(949) 498-4110
(949) 498-8657
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59541
CA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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