Martin Ruelas, Dmd, PC

NPI #1104098078 in Peoria, Illinois

Provider Information

NPI Number: 1104098078
Entity Type: Organization
Organization Name: Martin Ruelas, Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 10330 N JULIET CT
City: Peoria
State: Illinois
ZIP Code: 61615-1199
Phone: (309) 243-8455

Authorized Official

Name: DR. MARTIN RUELAS, DMD
Title: DENTIST
Phone: (309) 243-8455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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