Organization
KRELL-REUBEN ORAL SURGERY LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MICHAEL REUBEN DDS, MS (ORAL SURGEON)
(773) 777-6332
Entity
Organization
Contact information
Practice address
4200 W PETERSON AVE, SUITE 128, CHICAGO, IL 60646-6074
(773) 777-6332
Mailing address
4200 W PETERSON AVE, SUITE 128, CHICAGO, IL 60646-6074
(773) 777-6332
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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