Individual
DR. MAURICIO RONDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MPH
Contact information
Practice address
358 MARINE PKWY STE 300, REDWOOD CITY, CA 94065-5211
(650) 595-5083
(650) 594-9236
Mailing address
358 MARINE PKWY STE 300, REDWOOD CITY, CA 94065-5211
(650) 595-5083
(650) 594-9236
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47787
DENTAL LINSENCE
CA
Enumeration date
01/12/2007
Last updated
07/08/2007
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