Utibe Ruth Effiom DDS

NPI 1013109867 - Dentist - 122300000X

NPI Details
NPI 1013109867
Gender Female
Enumeration Date 08/15/2007
Last Updated 06/11/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
611 E IMPERIAL HWY
SUITE 107
LOS ANGELES CA, 90059-2358, US
Phone (310) 397-1064
Fax
Business Location
PO BOX 341935
LOS ANGELES CA, 90034, US
Phone (310) 397-1064
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 54249
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According to our database, Dr. Utibe Ruth Effiom DDS NPI is 1013109867, taxonomy code is 122300000X and license number is 54249, license state is located at California. Utibe Ruth Effiom DDS physically located at 611 E Imperial Hwy, Los Angeles CA, 90059-2358. NPI Number Utibe Ruth Effiom DDS has the Individual type.

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1013109867 NPI number is provided on an as is basis without warranty of any kind. 1013109867 is maintained by the National Plan & Provider Enumeration System. The contents of Utibe Ruth Effiom DDS are for informational purposes only.