Individual
CALEB MITCHELL RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
UK COLLEGE OF DENTISTRY DENTAL SCIENCE BLDG 800 ROSE, LEXINGTON, KY 40536-0001
(336) 885-9323
Mailing address
2531 CHERRY ST, KANSAS CITY, MO 64108-2746
(573) 645-7715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10640
KY
122300000X
Dentist
D10640
KY
Other
Enumeration date
02/21/2021
Last updated
01/17/2022
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