Individual
GINGER SUZANNE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4000
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904106
—
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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