Individual
DR. MICHAEL FORMAN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2121 COLUMBIA PIKE STE 100, ARLINGTON, VA 22204-4431
(703) 521-8843
(703) 521-1716
Mailing address
2121 COLUMBIA PIKE STE 100, ARLINGTON, VA 22204-4431
(703) 521-8843
(703) 521-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005577
VA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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