Provider Demographics
NPI:1790894863
Name:RUTH S. DE JOYA, DMD, INC
Entity Type:Organization
Organization Name:RUTH S. DE JOYA, DMD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:SALUDO
Authorized Official - Last Name:DE JOYA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:707-644-5943
Mailing Address - Street 1:2121 REDWOOD ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-3603
Mailing Address - Country:US
Mailing Address - Phone:707-644-5943
Mailing Address - Fax:707-644-2136
Practice Address - Street 1:2121 REDWOOD ST
Practice Address - Street 2:SUITE F
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-3603
Practice Address - Country:US
Practice Address - Phone:707-644-5943
Practice Address - Fax:707-644-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty