Provider Demographics
NPI:1710125679
Name:MUSETTI, VALERIA RUIZ (DDS)
Entity Type:Individual
Prefix:MRS
First Name:VALERIA
Middle Name:RUIZ
Last Name:MUSETTI
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 1:21107 WHITE RIV
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7066
Mailing Address - Country:US
Mailing Address - Phone:713-504-2627
Mailing Address - Fax:
Practice Address - Street 1:21681 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2512
Practice Address - Country:US
Practice Address - Phone:281-646-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24098122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist