Organization
MARISOL RUIZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL RUIZ D.M.D. (PRESIDENT)
(561) 395-0550
Entity
Organization
Contact information
Practice address
7280 W PALMETTO PARK RD, SUITE 206-N, BOCA RATON, FL 33433-3422
(561) 395-0550
(561) 395-5272
Mailing address
7280 W PALMETTO PARK RD, SUITE 206-N, BOCA RATON, FL 33433-3422
(561) 395-0550
(561) 395-5272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0012544
FL
1223E0200X
Endodontics
DN7316
FL
1223P0300X
Periodontics
DN8339
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN19915
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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