Michael K Ruella, DDS Valid NPI

Individual provider · General Practice Dentistry · Red Hook, NY

NPI

1184821779

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

029180 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-06-28

Last updated

2007-07-08