Individual
MRS. KIMBERLY RIGGS RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
234 E GAINES ST, LAWRENCEBURG, TN 38464
(931) 762-5525
(931) 762-5546
Mailing address
PO BOX 127, LAWRENCEBURG, TN 38464
(931) 762-5525
(931) 762-5546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8373
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519982
—
TN
05
—
5440293
—
TN
Enumeration date
11/14/2006
Last updated
03/25/2014
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