| Enrico J Rideau Dds A Dental Corporation | |
|
14240 S Vermont Ave Gardena CA 90247-2208 | |
| (310) 515-5511 | |
| Not Available |
| Full Name | Enrico J Rideau Dds A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14240 S Vermont Ave, Gardena, California |
| Authorized Official Name and Position | Joel Alatorre (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 3105155511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrico J Rideau Dds A Dental Corporation 14240 S Vermont Ave Gardena CA 90247-2208 Ph: (310) 515-5511 | Enrico J Rideau Dds A Dental Corporation 14240 S Vermont Ave Gardena CA 90247-2208 Ph: (310) 515-5511 |
| NPI Number | 1427123454 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427123454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31690 (California) | Primary |
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