Individual
DR. ROBERT LEE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1545 BUSINESS ONE CIR, WALLA WALLA, WA 99362-9526
(509) 525-4662
Mailing address
1545 BUSINESS ONE CIR, WALLA WALLA, WA 99362-9526
(509) 525-4662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428495442760
PREMERA BLUE CROSS
WA
05
—
5050976
—
WA
Enumeration date
03/08/2007
Last updated
06/26/2014
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