| NPI | 1518454297 |
|---|---|
| Former Legal Business Name | ROBERTO RUIZ |
| Entity Type | Organization |
| Authorized Contact | ROBERTO RUIZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 386065) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |