Organization
ADVANCED FAMILY DENTAL & ORTHODONTICS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J RUBIS DDS (PRESIDENT)
(815) 741-1700
Entity
Organization
Contact information
Practice address
2241 THEODORE ST, CREST HILL, IL 60403-1881
(815) 741-1700
(815) 483-2298
Mailing address
2241 THEODORE ST, CREST HILL, IL 60403-1881
(815) 741-1700
(815) 483-2298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016447
IL
Other
Enumeration date
05/10/2011
Last updated
10/17/2012
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