Individual
DR. PEDRO E RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2360 THAIN GRD, ASPEN DENTAL, LEWISTON, ID 83501
(208) 298-2405
Mailing address
2202A CAROL DR, LEWISTON, ID 83501-3895
(787) 507-4183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2717
PR
1223G0001X
General Practice Dentistry
Primary
4885
ID
Other
Enumeration date
12/04/2006
Last updated
03/17/2018
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