Individual
FERNANDO HARP RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1245
Mailing address
440 ALFRED ST APT 605, DETROIT, MI 48201-3188
(857) 331-2763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901602103
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901602103
MI
Other
Enumeration date
07/03/2014
Last updated
09/04/2024
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