Individual
RUBY ESTELLE FIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1520 BROADWAY ST, TOLEDO, OH 43609-2855
(419) 255-9000
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-015959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514330
—
OH
01
—
9175722
DORAL
OH
Enumeration date
05/09/2006
Last updated
12/28/2010
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