| Ruban Family And Cosmetic Dentistry, Inc. | |
|
4312 W El Prado Blvd Tampa FL 33629-8440 | |
| (813) 831-8588 | |
| Not Available |
| Full Name | Ruban Family And Cosmetic Dentistry, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4312 W El Prado Blvd, Tampa, Florida |
| Authorized Official Name and Position | Peter Lopatin (PRESIDENT) |
| Authorized Official Contact | 8138318588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruban Family And Cosmetic Dentistry, Inc. 4312 W El Prado Blvd Tampa FL 33629-8440 Ph: () - | Ruban Family And Cosmetic Dentistry, Inc. 4312 W El Prado Blvd Tampa FL 33629-8440 Ph: (813) 831-8588 |
| NPI Number | 1730657404 |
|---|---|
| Provider Enumeration Date | 11/11/2018 |
| Last Update Date | 11/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730657404 | NPI | - | NPPES |
| 0536997 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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