Individual
DR. MARTIN A RUELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
10330 N JULIET CT, PEORIA, IL 61615-1199
(309) 243-8455
(309) 243-8466
Mailing address
10330 N JULIET CT, PEORIA, IL 61615-1199
(309) 243-8455
(309) 243-8466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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