Organization
EFRAIN S. RUIZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIN S RUIZ (OWNER)
(508) 588-0094
Entity
Organization
Contact information
Practice address
304 PLEASANT ST, BROCKTON, MA 02301-3234
(508) 588-0094
(508) 583-2905
Mailing address
41 HICKS POINT RD, DUXBURY, MA 02332-5201
(781) 934-6111
(508) 583-2905
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270768
—
MA
Enumeration date
04/07/2008
Last updated
04/14/2008
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