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Individual
MRS. MICHELLE NANESE RUIZ
Active
Individual
MRS. MICHELLE NANESE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571853 01
—
TX
01
—
G60131 01
CHIPS
TX
Enumeration date
08/31/2006
Last updated
05/21/2015
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