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Organization
GREG RUBIN DDS
Active
Organization
GREG RUBIN DDS
Active
Other names
1000 Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG RUBIN DDS (OWNER)
(805) 454-1000
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD, SUITE 138, NEWBURY PARK, CA 91320-6435
(805) 454-1000
(805) 738-5530
Mailing address
1000 NEWBURY RD, SUITE 138, NEWBURY PARK, CA 91320-6435
(805) 454-1000
(805) 738-5530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710049457
—
CA
Enumeration date
02/13/2017
Last updated
02/13/2017
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