Organization
ADVANCED FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. RUBIS DDS (OWNER)
(815) 741-1700
Entity
Organization
Contact information
Practice address
2241 THEODORE ST., CREST HILL, IL 60403-1881
(815) 741-1700
(815) 741-8511
Mailing address
2241 THEODORE ST, CREST HILL, IL 60435-1881
(815) 741-1700
(815) 741-8511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19016447
IL
Other
Enumeration date
05/30/2007
Last updated
01/23/2008
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