Williams- Ruiz, D'Andra Mellissa

Williams- Ruiz, D'Andra Mellissa is an individual health care provider with primary practice located at 9000 Golfside Dr # A , Jacksonville FL 32256-7793. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Williams- Ruiz, D'Andra Mellissa can be contacted via phone (904) 737-8410.

Contact Information

Primary practice address
9000 Golfside Dr # A Jacksonville FL 32256-7793
Phone: (904) 737-8410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 26621 Florida

Profile Details

NPI number 1770080152
LBN Legal business name Williams- Ruiz, D'Andra Mellissa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Oct 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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