Individual
DR. MICHAEL R RUFFATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1202 HARRINGTON DR, CHAMPAIGN, IL 61821-6514
(217) 351-6388
Mailing address
1705 WOODFIELD DR, SAVOY, IL 61874-9504
(217) 356-6656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027467
IL
Other
Enumeration date
01/06/2010
Last updated
01/27/2016
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