Provider Demographics
NPI:1619146511
Name:TUROFF, RUTH ELLEN (RDH)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELLEN
Last Name:TUROFF
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 ROBINSON AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4536
Mailing Address - Country:US
Mailing Address - Phone:619-269-3536
Mailing Address - Fax:
Practice Address - Street 1:3538 BOUGAINVILLE RD BLDG 506
Practice Address - Street 2:BRANCH DENTAL ANNEX , NAB CORONADO
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92155-5491
Practice Address - Country:US
Practice Address - Phone:619-437-2954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7917124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7917OtherRDH LICENSE