Individual
ALEXIS MARIE RUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
(610) 952-5340
Mailing address
USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9890
US ARMY
SC
Enumeration date
07/14/2021
Last updated
09/27/2024
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