Provider Demographics
NPI:1770747545
Name:CABRAL-TEIXEIRA, RUTH ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ELIZABETH
Last Name:CABRAL-TEIXEIRA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:CA
Mailing Address - Zip Code:95334-1213
Mailing Address - Country:US
Mailing Address - Phone:209-394-8383
Mailing Address - Fax:
Practice Address - Street 1:1112 MAIN ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:CA
Practice Address - Zip Code:95334-1213
Practice Address - Country:US
Practice Address - Phone:209-394-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist