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Organization

FREDERICK RUTHERFORD, D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK RUTHERFORD D.D.S. (CEO)
(323) 937-0450
Entity
Organization

Contact information

Practice address
9515 CULVER BLVD., SUITE 200, CULVER CITY, CA 90323
(323) 937-0450
Mailing address
PO BOX 5174, CULVER CITY, CA 90231-5174
(323) 937-0450

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31174
CA

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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