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Individual

DR. RUIDAN MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
2203 SPRING STUEBNER RD STE 400, SPRING, TX 77389-5364
(615) 669-9451
Mailing address
2203 SPRING STUEBNER RD STE 400, SPRING, TX 77389-5364
(615) 669-9451

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101635
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019031847
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
101635
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38553
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101635
CALIFORNIA DENTAL BOARD
CA
01
38553
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
08/06/2017
Last updated
01/27/2025
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