| NPI | 1174940795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL VINCENT RUFFOLO Orthodontist 661-947-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56758) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |