| Efrain S. Ruiz | |
|
304 Pleasant St Brockton MA 02301-3234 | |
| (508) 588-0094 | |
| (508) 583-2905 |
| Full Name | Efrain S. Ruiz |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 304 Pleasant St, Brockton, Massachusetts |
| Authorized Official Name and Position | Efrain S Ruiz (OWNER) |
| Authorized Official Contact | 5085880094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Efrain S. Ruiz 41 Hicks Point Rd Duxbury MA 02332-5201 Ph: (781) 934-6111 | Efrain S. Ruiz 304 Pleasant St Brockton MA 02301-3234 Ph: (508) 588-0094 |
| NPI Number | 1639342116 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639342116 | NPI | - | NPPES |
| 0270768 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 17064 (Massachusetts) | Primary |
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