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Organization
RUBTSOV DDS INC
Active
Organization
RUBTSOV DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA RUBTSOVA DDS (SECRETARY)
(818) 772-4222
Entity
Organization
Contact information
Practice address
19301 SATICOY ST STE D, RESEDA, CA 91335-2358
(818) 772-4222
(818) 772-1530
Mailing address
19301 SATICOY ST STE D, RESEDA, CA 91335-2358
(818) 772-4222
(818) 772-1530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54436
CA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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