| Kristen Ritzau Dds, Inc. | |
|
122 Avenida Cabrillo San Clemente CA 92672-4039 | |
| (949) 498-4110 | |
| (949) 498-8657 |
| Full Name | Kristen Ritzau Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 122 Avenida Cabrillo, San Clemente, California |
| Authorized Official Name and Position | Kristen Ritzau (OWNER) |
| Authorized Official Contact | 9494984110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Ritzau Dds, Inc. 122 Avenida Cabrillo San Clemente CA 92672-4039 Ph: (949) 498-4110 | Kristen Ritzau Dds, Inc. 122 Avenida Cabrillo San Clemente CA 92672-4039 Ph: (949) 498-4110 |
| NPI Number | 1043640915 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043640915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59541 (California) | Primary |
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