OMAR ALEJANDRO PENA RUIZ

SHREVEPORT, LA
NPI1538960059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA  S-1220)
Enumeration Date2025-03-21
Last Update Date2025-09-30
Business Address
Dr. OMAR ALEJANDRO PENA RUIZ DDS
2508 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5210
Mailing Address
Dr. OMAR ALEJANDRO PENA RUIZ DDS
200 MAJESTIC OAKS DR APT 202
SHREVEPORT, LA 71115-3879
Phone number: 787-525-0945
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