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Organization
RUBENCILLO H SANTOS DDS INC
Active
Organization
RUBENCILLO H SANTOS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBENCILLO HERRERA SANTOS DDS (PRESIDENT)
(209) 537-5783
Entity
Organization
Contact information
Practice address
2503 E HATCH RD, MODESTO, CA 95351-4817
(209) 537-5783
(209) 537-0443
Mailing address
2503 E HATCH RD, MODESTO, CA 95351-4817
(209) 537-5783
(209) 537-0443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59933
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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