Individual
WYATT M RUFFIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3940 AIRLINE BLVD, SUITE 114, CHESAPEAKE, VA 23321-3329
(757) 465-4884
(757) 465-4884
Mailing address
3940 AIRLINE BLVD, SUITE 114, CHESAPEAKE, VA 23321-3329
(757) 465-4884
(757) 465-4884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7821743
—
VA
Enumeration date
09/25/2006
Last updated
07/08/2007
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