Provider Demographics
NPI:1942300181
Name:RAMON RUVALCABA JR. DDS
Entity Type:Organization
Organization Name:RAMON RUVALCABA JR. DDS
Other - Org Name:TEXAS SMILE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUVALCABA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-275-0172
Mailing Address - Street 1:2517 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227
Mailing Address - Country:US
Mailing Address - Phone:214-275-0172
Mailing Address - Fax:214-275-8523
Practice Address - Street 1:2517 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227
Practice Address - Country:US
Practice Address - Phone:214-275-0172
Practice Address - Fax:214-275-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty