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Individual

DR. ALLEN JAY RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
305 MAIN ST, SOUTHBRIDGE, MA 01550
(508) 765-0880
(508) 765-0385
Mailing address
305 MAIN ST, SOUTHBRIDGE, MA 01550
(508) 765-0880
(508) 765-0385

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14872
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0257818
MA
01
X04764
BCBS
MA
Enumeration date
06/07/2007
Last updated
07/08/2007
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