Organization
RUIZ DENTAL CORPORATION
Active
Other names
Orange County Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALDINE ENRIQUETA RUIZ DDS (PRESIDENT)
(714) 497-2747
Entity
Organization
Contact information
Practice address
1122 E LINCOLN AVE, SUITE 212, ORANGE, CA 92865-1907
(714) 497-2747
Mailing address
1122 E LINCOLN AVE, SUITE 212, ORANGE, CA 92865-1907
(714) 497-2747
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
62249
CA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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