Organization
DR.JACK RUBY CHARTERED
Active
Other names
Oak Lawn Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK W. RUBY D.D.S (OWNER)
(708) 598-0717
Entity
Organization
Contact information
Practice address
6735 W 95TH ST, OAK LAWN, IL 60453-2112
(708) 598-0717
Mailing address
6735 W 95TH ST, OAK LAWN, IL 60453-2112
(708) 598-0717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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