Individual
PAULA ELIZABETH RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
601 N 21ST ST # 603, OZARK, MO 65721-9184
(417) 582-5439
Mailing address
300 E TIMOTHY RIDGE RD, STRAFFORD, MO 65757-7846
(417) 859-4727
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2007015403
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007015403
DENTAL HYGIENE LICENSE
MO
Enumeration date
07/02/2007
Last updated
07/08/2007
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