Provider Demographics
NPI:1902801624
Name:RUTHVEN, DONALD C JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:C
Last Name:RUTHVEN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 POST OAK BLVD
Mailing Address - Street 2:STE 1630
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3086
Mailing Address - Country:US
Mailing Address - Phone:713-622-6068
Mailing Address - Fax:713-621-1856
Practice Address - Street 1:1300 POST OAK BLVD
Practice Address - Street 2:STE 1630
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3086
Practice Address - Country:US
Practice Address - Phone:713-622-6068
Practice Address - Fax:713-621-1856
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX75521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice