Individual
DR. FERNANDO DANIEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2800 E WHITESTONE BLVD STE 225, CEDAR PARK, TX 78613-7276
(512) 337-0993
Mailing address
14911 SR 23, GRANGER, IN 46530
(574) 221-8841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33745
TX
1223G0001X
General Practice Dentistry
12014023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33745
—
TX
Enumeration date
09/01/2017
Last updated
06/20/2023
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