Individual
DR. SAMANTHA JEAN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1300 N SUMMIT AVE STE 101, OCONOMOWOC, WI 53066-4467
(262) 567-1323
Mailing address
1300 N SUMMIT AVE STE 101, OCONOMOWOC, WI 53066-4467
(262) 567-1323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6544-15
WI
Other
Enumeration date
06/04/2010
Last updated
06/01/2019
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