Individual
MUSTAFA AL RUBAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8241 S HOWELL AVE STE 100, OAK CREEK, WI 53154-8346
(414) 762-5200
Mailing address
2700 UNIVERSITY AVE W APT 340, SAINT PAUL, MN 55114-2025
(630) 229-4354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001633-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2024
Last updated
07/12/2024
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