Individual
ANN VUTIKULLIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18821 PIONEER BLVD STE C, CERRITOS, CA 90701-5667
(562) 860-8220
Mailing address
18821 PIONEER BLVD STE C, CERRITOS, CA 90701-5667
(562) 860-8220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48057
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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