Individual
DR. MARIELENA GAMBOA-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 KNEELAND ST FL 11, BOSTON, MA 02111-1527
(617) 669-2709
Mailing address
1 KNEELAND ST FL 11, BOSTON, MA 02111-1527
(617) 669-2709
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DL13177
MA
Other
Enumeration date
09/23/2013
Last updated
11/22/2017
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