| NPI | 1992168959 |
|---|---|
| Doing Business As | SUPRA-GINGIVAL DENTISTRY BY DR. JOSE-LUIS RUIZ DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | JOSE-LUIS RUIZ Owner 818-558-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38124) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |