Organization
FRISCO KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL IRVING RUBIN DDS (OWNER)
(214) 618-5200
Entity
Organization
Contact information
Practice address
6801 WARREN PKWY, SUITE 115, FRISCO, TX 75034-4174
(214) 618-5200
(214) 618-5201
Mailing address
6801 WARREN PKWY, SUITE 115, FRISCO, TX 75034-4174
(214) 618-5200
(214) 618-5201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184453201
—
TX
Enumeration date
04/25/2011
Last updated
04/25/2011
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