Individual
DR. BRUCE MICHAEL REUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4200 W PETERSON AVE, SUITE 128, CHICAGO, IL 60646-6074
(773) 777-6332
(773) 777-6318
Mailing address
4200 W PETERSON AVE, SUITE 128, CHICAGO, IL 60646-6074
(773) 777-6332
(773) 777-6318
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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