| Rubicon Dental Group, Pa | |
|
920 S Closner Blvd Ste D Edinburg TX 78539-5641 | |
| (909) 528-0614 | |
| Not Available |
| Full Name | Rubicon Dental Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 S Closner Blvd Ste D, Edinburg, Texas |
| Authorized Official Name and Position | Sergey Bondar (PRESIDENT) |
| Authorized Official Contact | 9095280614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubicon Dental Group, Pa 920 S Closner Blvd Ste D Edinburg TX 78539-5641 Ph: (909) 528-0614 | Rubicon Dental Group, Pa 920 S Closner Blvd Ste D Edinburg TX 78539-5641 Ph: (909) 528-0614 |
| NPI Number | 1821233776 |
|---|---|
| Provider Enumeration Date | 12/06/2008 |
| Last Update Date | 12/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821233776 | NPI | - | NPPES |
| 192829301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23727 (Texas) | Primary |
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