Provider Demographics
NPI:1013063825
Name:MA VICTORIA RUIZ DDS INC
Entity Type:Organization
Organization Name:MA VICTORIA RUIZ DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MA VICTORIA
Authorized Official - Middle Name:MEDIRAN
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-591-7188
Mailing Address - Street 1:180 E EL MONTE WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-1551
Mailing Address - Country:US
Mailing Address - Phone:559-591-7188
Mailing Address - Fax:
Practice Address - Street 1:180 E EL MONTE WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-1551
Practice Address - Country:US
Practice Address - Phone:559-591-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty