Provider Demographics
NPI:1518986967
Name:RUIZ, MIGUEL A JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:A
Last Name:RUIZ
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22619 ALDINE WESTFIELD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-6539
Mailing Address - Country:US
Mailing Address - Phone:281-907-0909
Mailing Address - Fax:281-907-0958
Practice Address - Street 1:22619 ALDINE WESTFIELD RD STE 3
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-6539
Practice Address - Country:US
Practice Address - Phone:281-907-0909
Practice Address - Fax:281-907-0958
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice