Dr. Albert G Ruezga, INC.
Dentist in Pahrump, NV. Organization (NPI-2).
NPI number1104961663
StatusActive
Last updated in NPPESNov 18, 2015
Details
- NPI
- 1104961663
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Albert G Ruezga, INC.
- Organization subpart
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Nov 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4065 | NV | Yes |
Practice location
2340 E Calvada Blvd1
Pahrump, NV 89048-5880
Phone 775-751-5888 · Fax 775-751-1573
Mailing address
2340 E Calvada Blvd1
Pahrump, NV 89048-5880
Phone 775-751-5888 · Fax 775-751-1573
Authorized official
Albert G Ruezga
President
7757515888
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