Individual
MRS. SALLY ANNE RUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4902 IRVINE CENTER DR, SUITE 111, IRVINE, CA 92604-3305
(949) 559-0674
Mailing address
19 AMMOLITE, RANCHO SANTA MARGARITA, CA 92688-3521
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
20053
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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