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Individual

GABRIEL RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.D.A

Contact information

Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 409-4265
(310) 820-0588
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 409-4265
(310) 820-0588

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
82313
CA

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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