Provider Demographics
NPI:1013773407
Name:RUBY VALLEY INVESTMENTS, PLLC
Entity Type:Organization
Organization Name:RUBY VALLEY INVESTMENTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SHERYAR
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:801-821-6945
Mailing Address - Street 1:11906 AUTUMN FERN LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7230
Mailing Address - Country:US
Mailing Address - Phone:254-913-1631
Mailing Address - Fax:
Practice Address - Street 1:2910 MAGUIRE RD STE 1005
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4742
Practice Address - Country:US
Practice Address - Phone:689-407-3015
Practice Address - Fax:689-407-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental