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Organization
RUBICON DENTAL GROUP, PA
Active
Organization
RUBICON DENTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY BONDAR D.D.S. (PRESIDENT)
(909) 528-0614
Entity
Organization
Contact information
Practice address
920 S CLOSNER BLVD STE D, EDINBURG, TX 78539-5641
(909) 528-0614
Mailing address
920 S CLOSNER BLVD STE D, EDINBURG, TX 78539-5641
(909) 528-0614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192829301
—
TX
Enumeration date
12/06/2008
Last updated
12/06/2008
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