Individual
MRS. ADA GRUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15 SAINT PIERRE, TRABUCO CANYON, CA 92679-3724
(949) 525-8238
Mailing address
11180 WARNER AVE, #251, FOUNTAIN VALLEY, CA 92708-7501
(714) 557-8492
(714) 557-5392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49537
CA
Other
Enumeration date
04/30/2009
Last updated
04/16/2014
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