Individual
DR. JOSE RUIZ VILLANUEVA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNIT 26610, BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(031) 804-2524
Mailing address
UNIT 26610, BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(031) 804-2524
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT1862
HI
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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