Individual
DR. CARLOS R RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
371 LAKE HAVASU AVE S, UNIT B, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Mailing address
371 LAKE HAVASU AVE S, UNIT B, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7189
AZ
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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