# EDSON MARTINEZ-RUIZ, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164803417
- **Authorized official:** MS. VANIA MARTINEZ (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (830) 775-2443

## Contact information

- **Practice address:** 1121 AVENUE E, DEL RIO, TX 78840-3915
- **Practice address phone:** (830) 775-2443
- **Practice address fax:** (830) 775-2214
- **Mailing address:** 1121 AVENUE E, DEL RIO, TX 78840-3915
- **Mailing address phone:** (830) 775-2443
- **Mailing address fax:** (830) 775-2214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20475 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015