Organization
ADA GRUITA, A DENTAL CORPORATION
Active
Other names
Pro Health Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA GRUITA DDS (PRESIDENT/DENTIST)
(949) 525-8238
Entity
Organization
Contact information
Practice address
27680 SANTA MARGARITA PKWY, MISSION VIEJO, CA 92691-6674
(949) 916-6868
(949) 916-6869
Mailing address
15 SAINT PIERRE, TRABUCO CANYON, CA 92679-3724
(949) 525-8238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49537
CA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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