Individual
MAURICIO RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5336 E TRUMAN AVE, FRESNO, CA 93725-0934
(559) 824-3188
Mailing address
5336 E TRUMAN AVE, FRESNO, CA 93725-0934
(559) 824-3188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105354
CA
1223E0200X
Endodontics
Primary
105354
CA
Other
Enumeration date
08/24/2020
Last updated
08/09/2024
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