Organization
ADVANCED FAMILY DENTAL & CHIROPRACTIC OF LOCKPORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J RUBIS D.D.S. (PRESIDENT)
(815) 741-1700
Entity
Organization
Contact information
Practice address
730 SOUTH WASHINGTON ST, LOCKPORT, IL 60441
(815) 838-3337
Mailing address
730 SOUTH WASHINGTON ST, LOCKPORT, IL 60441
(815) 838-3337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-016447
IL
Other
Enumeration date
04/07/2009
Last updated
02/04/2013
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