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Individual

RUBAYYAT RASHID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2002 E SAGINAW ST, LANSING, MI 48912-3143
(248) 974-8018
Mailing address
5198 BIRKDALE DR, COMMERCE TOWNSHIP, MI 48382-1582
(248) 974-8018

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18650
MI
1223G0001X
General Practice Dentistry
24426
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
383014011
TAX ID
MI
05
4730982
MI
01
88144
DELTA
MI
01
D8002810
BCBS
MI
Enumeration date
08/13/2006
Last updated
09/11/2016
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