Individual
TING RUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 584-1206
Mailing address
15472 S HERITAGECREST WAY, BLUFFDALE, UT 84065-5254
(626) 602-4636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12753421-9923
UT
Other
Enumeration date
04/28/2022
Last updated
03/09/2025
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