DR. OMAR PENA RUIZ, DDS
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1538960059
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | S-1220 (LA) |
Frequently Asked Questions
NPI 1538960059 is the National Provider Identifier for DR. OMAR PENA RUIZ, DDS, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on March 21, 2025.
DR. OMAR PENA RUIZ, DDS practices at 2508 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118.
Quick Facts
- NPI
- 1538960059
- Type
- Individual
- Enumerated
- Mar 21, 2025
- Last Updated
- Sep 30, 2025
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