| Ruth B Garzon Dental Practice Inc | |
|
509 Five Cities Dr Pismo Beach CA 93449 | |
| (805) 773-2131 | |
| (805) 773-8656 |
| Full Name | Ruth B Garzon Dental Practice Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 509 Five Cities Dr, Pismo Beach, California |
| Authorized Official Name and Position | Ruth B Garzon (OWNER DENTIST) |
| Authorized Official Contact | 8057732131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth B Garzon Dental Practice Inc 509 Five Cities Dr Pismo Beach CA 93449 Ph: (805) 773-2131 | Ruth B Garzon Dental Practice Inc 509 Five Cities Dr Pismo Beach CA 93449 Ph: (805) 773-2131 |
| NPI Number | 1033241260 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033241260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50913 (California) | Primary |
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