Provider Demographics
NPI:1245053610
Name:JUSTE RUZELYTE DDS PC
Entity type:Organization
Organization Name:JUSTE RUZELYTE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZELYTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-295-3119
Mailing Address - Street 1:31991 DOVE CANYON DR STE 100B
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:31991 DOVE CANYON DR STE 100B
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-3751
Practice Address - Country:US
Practice Address - Phone:949-295-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental