Provider Demographics
NPI:1720283146
Name:LAMBOY RUIZ, JULIO NELSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:NELSON
Last Name:LAMBOY RUIZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-8802
Mailing Address - Country:US
Mailing Address - Phone:336-262-3604
Mailing Address - Fax:336-626-2333
Practice Address - Street 1:930 EXECUTIVE WAY
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-8802
Practice Address - Country:US
Practice Address - Phone:336-262-3604
Practice Address - Fax:336-626-2333
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist