Individual
FRED H DUBICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3808 RIVERSIDE DR, #100, BURBANK, CA 91505
(818) 843-2214
(818) 843-4331
Mailing address
3808 RIVERSIDE DR, #100, BURBANK, CA 91505
(818) 843-2214
(818) 843-4331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6901TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0004692
—
CA
Enumeration date
01/09/2007
Last updated
02/28/2013
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