| Rita Bruce,dds, Inc | |
|
9808 Venice Blvd Suite 506 Culver City CA 90232-2732 | |
| (310) 204-2475 | |
| Not Available |
| Full Name | Rita Bruce,dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9808 Venice Blvd, Culver City, California |
| Authorized Official Name and Position | Rita Bruce (OWNER) |
| Authorized Official Contact | 3102042475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita Bruce,dds, Inc 9808 Venice Blvd Suite 506 Culver City CA 90232-2732 Ph: (310) 204-2475 | Rita Bruce,dds, Inc 9808 Venice Blvd Suite 506 Culver City CA 90232-2732 Ph: (310) 204-2475 |
| NPI Number | 1740449206 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740449206 | NPI | - | NPPES |
| G92911-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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