Organization
ENDODONTICS & PERIODONTICS ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO A. RUIZ SR. DMD (DENTIST)
(813) 960-9080
Entity
Organization
Contact information
Practice address
4244 W LINEBAUGH AVE, SAME, TAMPA, FL 33624-5241
(813) 960-9080
(813) 960-1090
Mailing address
4244 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 960-9080
(813) 960-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12062
FL
122300000X
Dentist
13928
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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