Individual
CAROLINE CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
183 E GONZALES RD, OXNARD, CA 93036-8259
(805) 981-8116
Mailing address
183 E GONZALES RD, OXNARD, CA 93036-8259
(805) 981-8116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102351
CA
122300000X
Dentist
6999-244-9922
UT
122300000X
Dentist
9851
CO
1223G0001X
General Practice Dentistry
30. 023122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801035159
—
OH
Enumeration date
02/10/2009
Last updated
04/24/2018
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