Organization
MONTROSE DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUBIS DDS (PRESIDENT)
(815) 741-1700
Entity
Organization
Contact information
Practice address
3541 W MONTROSE AVE, #1W, CHICAGO, IL 60618-1139
(815) 741-1700
(815) 483-2298
Mailing address
3541 W MONTROSE AVE, #1W, CHICAGO, IL 60618-1139
(815) 741-1700
(815) 483-2298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016447
IL
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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