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Organization

EDWARD M. RUIZ DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD M RUIZ DDS (OWNER/DENTIST)
(708) 798-8899
Entity
Organization

Contact information

Practice address
17901 GOVERNORS HWY, SUITE 201A, HOMEWOOD, IL 60430-1144
(708) 798-8899
(708) 798-3923
Mailing address
17901 GOVERNORS HWY, SUITE 201A, HOMEWOOD, IL 60430-1144
(708) 798-8899
(708) 798-3923

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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