Individual
MARILUZ RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-8580
Mailing address
220 13TH ST, BROOKLYN, NY 11215-4802
(718) 832-5980
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030369
NY
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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