Individual
RUBY B NAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
130 THOMAS JOHNSON DR, FREDERICK, MD 21702
(301) 662-0222
Mailing address
130 THOMAS JOHNSON DR STE 1, FREDERICK, MD 21702-4583
(301) 662-0222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16632
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2013
Last updated
12/02/2019
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