RENARD RUIGI ANATALIO MACASAET

LOS ANGELES, CA
NPI1912754748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  110657)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-30
Last Update Date2024-08-29
Business Address
Mr. RENARD RUIGI ANATALIO MACASAET
514 S ALVARADO ST
LOS ANGELES, CA 90057-2904
Phone number: 714-909-3067
Mailing Address
Mr. RENARD RUIGI ANATALIO MACASAET
10052 FARRALONE AVE
CHATSWORTH, CA 91311-2708
Phone number: 714-909-3067