| Frederick Rutherford, D.d.s., Inc. | |
|
9515 Culver Blvd. Suite 200 Culver City CA 90323 | |
| (323) 937-0450 | |
| Not Available |
| Full Name | Frederick Rutherford, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9515 Culver Blvd., Culver City, California |
| Authorized Official Name and Position | Frederick Rutherford (CEO) |
| Authorized Official Contact | 3239370450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Rutherford, D.d.s., Inc. Po Box 5174 Culver City CA 90231-5174 Ph: (323) 937-0450 | Frederick Rutherford, D.d.s., Inc. 9515 Culver Blvd. Suite 200 Culver City CA 90323 Ph: (323) 937-0450 |
| NPI Number | 1508283227 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508283227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 31174 (California) | Primary |
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