Organization
DR. RUSEN VICTORVILLE FRIENDLY SMILES DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RARES DAN RUSEN DDS (CEO)
(213) 324-6000
Entity
Organization
Contact information
Practice address
15401 ANACAPA RD STE 3, VICTORVILLE, CA 92392-2466
(213) 324-6000
Mailing address
15401 ANACAPA RD STE 3, VICTORVILLE, CA 92392-2466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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