Individual
DR. MANUEL ARTURO GONZALEZ RUIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3170 CLAIREMONT DR, SAN DIEGO, CA 92117-6411
(619) 907-7918
Mailing address
3170 CLAIREMONT DR, SAN DIEGO, CA 92117-6411
(619) 907-7918
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
109538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109538
—
CA
Enumeration date
10/02/2023
Last updated
10/02/2023
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