| NPI | 1720159437 |
|---|---|
| Other Name | DR WYATT M RUFFIN JR |
| Entity Type | Organization |
| Authorized Contact | WYATT M RUFFIN Owner President 757-465-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |