| NPI | 1417454380 |
|---|---|
| Former Legal Business Name | JOSE ROBERTO RUIZ |
| Entity Type | Organization |
| Authorized Contact | JOSE ROBERTO RUIZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ 3907411) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |