Organization
NICHOLAS J SHUBIN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J SHUBIN DDS (PRESIDENT)
(949) 661-2015
Entity
Organization
Contact information
Practice address
27184 ORTEGA HWY, SUITE 208, SAN JUAN CAPISTRANO, CA 92675-5705
(949) 661-2015
Mailing address
27184 ORTEGA HWY, SUITE 208, SAN JUAN CAPISTRANO, CA 92675-5705
(949) 661-2015
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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