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NPI Code Detail

MEDICARE: DR. RONALD L RUGGIERO D.D.S.

MEDICARE: DR. RONALD L RUGGIERO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist10167MN

General Provider Information

NPI Number : 1811010242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD L RUGGIERO D.D.S.
Provider Business Mailing Address
First Line : 3145 GARDEN AVE STE 1278
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-7719
Country : US
Telephone Number : 210-808-3735
Fax Number :
Provider Business Practice Location Address
First Line : 3145 GARDEN AVE STE 1278
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-7719
Country : US
Telephone Number : 210-808-3735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 02/08/2023

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