Organization
PRACTICE OF FAMILY AND COSMETIC DENTISTRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC F RUBIN (OWNER)
(508) 881-4266
Entity
Organization
Contact information
Practice address
30 MAIN ST, STE 2, ASHLAND, MA 01721
(508) 881-4266
(508) 881-3983
Mailing address
30 MAIN ST, STE 2, ASHLAND, MA 01721
(508) 881-4266
(508) 881-3983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12101
BLUE CROSS
MA
Enumeration date
07/20/2006
Last updated
08/22/2020
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