Wyatt M Ruffin JR. DDS

NPI 1033210943 - Dentist - 122300000X

NPI Details
NPI 1033210943
Gender Male
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3940 AIRLINE BLVD
SUITE 114
CHESAPEAKE VA, 23321-3329, US
Phone (757) 465-4884
Fax (757) 465-4884
Business Location
3940 AIRLINE BLVD
SUITE 114
CHESAPEAKE VA, 23321-3329, US
Phone (757) 465-4884
Fax (757) 465-4884
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401006433
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According to our database, Wyatt M Ruffin JR. DDS NPI is 1033210943, taxonomy code is 122300000X and license number is 0401006433, license state is located at Virginia. Wyatt M Ruffin JR. DDS physically located at 3940 Airline Blvd, Chesapeake VA, 23321-3329. NPI Number Wyatt M Ruffin JR. DDS has the Individual type.

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1033210943 NPI number is provided on an as is basis without warranty of any kind. 1033210943 is maintained by the National Plan & Provider Enumeration System. The contents of Wyatt M Ruffin JR. DDS are for informational purposes only.