| NPI | 1639342116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN S RUIZ Owner 508-588-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 17064) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-14 |