# SONIA BARBOSA-RUIZ DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomfield Avenue Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013432590
- **Authorized official:** PHILIP SHIN DDS (ASSOCIATE DENTIST)
- **Authorized official phone:** (610) 284-4770

## Contact information

- **Practice address:** 4130 BLOOMFIELD AVE, DREXEL HILL, PA 19026-3803
- **Practice address phone:** (610) 284-4770
- **Practice address fax:** (484) 273-0553
- **Mailing address:** 4130 BLOOMFIELD AVE, DREXEL HILL, PA 19026-3803
- **Mailing address phone:** (610) 284-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS029129L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS029129L | PA | — |

## Other

- **Enumeration date:** 08/07/2017
- **Last updated:** 07/21/2022