| Ruso | |
|
9535 Garden Grove Blvd Garden Grove CA 92844-1550 | |
| (714) 855-1138 | |
| Not Available |
| Full Name | Ruso |
|---|---|
| Speciality | Dentist |
| Location | 9535 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Ruben Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3232780170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruso 9535 Garden Grove Blvd Garden Grove CA 92844-1550 Ph: (714) 855-1138 | Ruso 9535 Garden Grove Blvd Garden Grove CA 92844-1550 Ph: (714) 855-1138 |
| NPI Number | 1619327194 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619327194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | B33928 (California) | Primary |
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