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Organization
RUBTSOV D.D.S., INC.
Active
Organization
RUBTSOV D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIY RUBTSOV (PRESIDENT)
(818) 763-0777
Entity
Organization
Contact information
Practice address
12450 BURBANK BLVD, NORTH HOLLYWOOD, CA 91607-1637
(818) 763-0777
(818) 763-0453
Mailing address
12450 BURBANK BLVD, 'L', NORTH HOLLYWOOD, CA 91607-1637
(818) 763-0777
(818) 763-0453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54304
CA
Other
Enumeration date
09/19/2008
Last updated
02/27/2009
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