Organization
RUBAN FAMILY AND COSMETIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LOPATIN DDS (PRESIDENT)
(813) 831-8588
Entity
Organization
Contact information
Practice address
4312 W EL PRADO BLVD, TAMPA, FL 33629-8440
(813) 831-8588
Mailing address
4312 W EL PRADO BLVD, TAMPA, FL 33629-8440
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536997
—
NJ
Enumeration date
11/11/2018
Last updated
11/11/2018
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