Individual
DR. GLEN SCOTT RUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 MAIN ST, PORT WASHINGTON, NY 11050-2707
(516) 944-3400
(516) 944-3403
Mailing address
308 MAIN ST, PORT WASHINGTON, NY 11050-2707
(516) 944-3400
(516) 944-3403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039521
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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