Individual
WALDEMAR RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
8811 E RENO, SUITE 101, MIDWEST CITY, OK 73110-7726
(405) 732-6729
(405) 732-7191
Mailing address
8811 E RENO, SUITE 101, MIDWEST CITY, OK 73110-7726
(405) 732-6729
(405) 732-7191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3896
OK
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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