Individual
ADRIANA MARIA JOSE RUIZ CENTURION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 206-3904
Mailing address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 206-3904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034043
IL
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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