Individual
DR. AMITA SUNG RUEHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2640 TELEGRAPH AVE STE 101, BERKELEY, CA 94704-3374
(510) 848-6494
Mailing address
2640 TELEGRAPH AVE STE 101, BERKELEY, CA 94704-3374
(510) 848-6494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60800
CA
1223P0221X
Pediatric Dentistry
Primary
60800
CA
Other
Enumeration date
08/23/2011
Last updated
07/28/2022
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