Provider Demographics
NPI:1700068426
Name:ADORABLE, RICA CELINA GALVEZ (DDS)
Entity Type:Individual
Prefix:
First Name:RICA CELINA
Middle Name:GALVEZ
Last Name:ADORABLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:RICA CELINA
Other - Middle Name:AGUILA
Other - Last Name:GALVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist