Individual
DR. ERIC J RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
(920) 563-4415
Mailing address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6573-015
WI
Other
Enumeration date
07/09/2010
Last updated
12/28/2011
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