Organization
IRIFF ULEP DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIFF KEISHA DOLLAGA ULEP DDS (CEO)
(805) 481-1884
Entity
Organization
Contact information
Practice address
230 STATION WAY STE A, ARROYO GRANDE, CA 93420-3383
(732) 307-4003
Mailing address
230 STATION WAY STE A, ARROYO GRANDE, CA 93420-3383
(805) 481-1884
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
10/13/2022
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