Organization
SMILE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VINCENT RUFFOLO D.D.S. (ORTHODONTIST)
(661) 947-9990
Entity
Organization
Contact information
Practice address
2508 E PALMDALE BLVD, PALMDALE, CA 93550-4860
(661) 947-9990
(661) 947-2458
Mailing address
2508 E PALMDALE BLVD, PALMDALE, CA 93550-4860
(661) 947-9990
(661) 947-2458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477855245
TYPE 1 NPI
CA
Enumeration date
03/20/2014
Last updated
03/20/2014
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