Provider Demographics
NPI:1538209150
Name:CURTIS, RON R (DDS)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:R
Last Name:CURTIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:415 S IRENA AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3819
Mailing Address - Country:US
Mailing Address - Phone:310-577-0772
Mailing Address - Fax:310-305-4008
Practice Address - Street 1:8035 W MANCHESTER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7985
Practice Address - Country:US
Practice Address - Phone:310-577-0772
Practice Address - Fax:310-305-4008
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA454471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice