Provider Demographics
NPI:1336142322
Name:RUFF, CYNTHIA MARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARY
Last Name:RUFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E TABOR AVE
Mailing Address - Street 2:STE C
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4079
Mailing Address - Country:US
Mailing Address - Phone:707-427-3100
Mailing Address - Fax:707-427-3101
Practice Address - Street 1:690 E TABOR AVE
Practice Address - Street 2:STE C
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-4079
Practice Address - Country:US
Practice Address - Phone:707-427-3100
Practice Address - Fax:707-427-3101
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA290981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice