Individual
CARLOS RUBEN RUIZ VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 SINGLETON BLVD, DALLAS, TX 75212-4014
(214) 540-0300
Mailing address
519 E LANETT DR, DESOTO, TX 75115-5067
(972) 375-7943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38414
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2022
Last updated
09/12/2023
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