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Individual

MR. ELTON J. RUGAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 AQUAMARINE LN., CORONA, CA 92882
(562) 965-2586
Mailing address
900 AQUAMARINE LN., CORONA, CA 92882

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
CA

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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