Individual
DR. DANIEL RUFFOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1575 MIDDLETON RD, SAN DIMAS, CA 91773-3717
(626) 831-2679
Mailing address
1575 MIDDLETON RD, SAN DIMAS, CA 91773-3717
(626) 831-2679
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56758
CA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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