Provider Demographics
NPI:1700496593
Name:NYARUGA PLLC
Entity Type:Organization
Organization Name:NYARUGA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-845-7879
Mailing Address - Street 1:1418 W JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-5325
Mailing Address - Country:US
Mailing Address - Phone:214-942-0101
Mailing Address - Fax:
Practice Address - Street 1:3100 S RIDGE RD STE 300
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3819
Practice Address - Country:US
Practice Address - Phone:817-845-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental