Individual
DR. ALCIRA M URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 N MACLAY AVE, SUITE #107, SAN FERNANDO, CA 91340-5128
(818) 714-7714
Mailing address
1160 N MACLAY AVE, SUITE #107, SAN FERNANDO, CA 91340-5128
(818) 714-7714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D55679
—
CA
Enumeration date
10/04/2007
Last updated
01/13/2025
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