Individual
BONNIE L RUYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 CALLE PAVA, SANTA FE, NM 87505-6320
(505) 690-9846
Mailing address
2322 CALLE PAVA, SANTA FE, NM 87505-6320
(505) 690-9846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1720
NM
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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