Patricia Niziolek Ross in Los Angeles - Dentist
Patricia Niziolek Ross - NPI 1225245897
Patricia Niziolek Ross is a Dentist in Los Angeles, California. Patricia Niziolek Ross practices all healthcare services and medical treatments related to Dentist. The NPI Number for Patricia Niziolek Ross is 1225245897. The last update date is 2007-07-08.
Patricia Niziolek Ross's current location address is 11980 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3102074200 and fax number 3109798900. The mailing address for Patricia Niziolek Ross is 11980 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Niziolek Ross |
|---|---|
| Address | 11980 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3102074200 |
| Fax Number | 3109798900 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1225245897 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11980 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900496606 |
| Phone Number | 3102074200 |
| Fax Number | 3109798900 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 41201 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Patricia Niziolek Ross?
The Patricia Niziolek Ross has been issued the NPI (National Provider Identifier) 1225245897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Patricia Niziolek Ross?
The Patricia Niziolek Ross is situated at 11980 San Vicente Blvd, in the city of Los Angeles, state of CA, with the zip code 900496606.
What is the Patricia Niziolek Ross's specialty and taxonomy code?
The Patricia Niziolek Ross's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225245897 to Patricia Niziolek Ross?
The Centers for Medicare & Medicaid Services assigned the 1225245897 to Patricia Niziolek Ross on 2007-05-16.
As of what date were the details pertaining to Patricia Niziolek Ross last refreshed?
The information related to the Patricia Niziolek Ross, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
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