Provider Demographics
NPI:1497304125
Name:RICA ADORABLE DDS INC.
Entity Type:Organization
Organization Name:RICA ADORABLE DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADORABLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-348-1494
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2031
Mailing Address - Country:US
Mailing Address - Phone:818-348-1494
Mailing Address - Fax:818-592-0406
Practice Address - Street 1:6325 TOPANGA CANYON BLVD STE 307
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2031
Practice Address - Country:US
Practice Address - Phone:818-348-1494
Practice Address - Fax:818-592-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental