Provider Demographics
NPI:1336877018
Name:DE LEON, APRIL JOY RUIZ (RDH)
Entity Type:Individual
Prefix:
First Name:APRIL JOY
Middle Name:RUIZ
Last Name:DE LEON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:DELEON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:11605 132ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-8505
Mailing Address - Country:US
Mailing Address - Phone:425-739-8100
Mailing Address - Fax:
Practice Address - Street 1:4201 RUCKER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2215
Practice Address - Country:US
Practice Address - Phone:425-382-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH61005418124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist