Organization
ADVANCED FAMILY DENTAL & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUBIS DDS (PRESIDENT)
(815) 741-1700
Entity
Organization
Contact information
Practice address
2215 THEODORE ST, CREST HILL, IL 60403-5854
(815) 741-1700
(815) 483-2298
Mailing address
2215 THEODORE ST, CREST HILL, IL 60403-5854
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019016447
IL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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