| Rubtsov Dds Inc | |
|
19301 Saticoy St Ste D Reseda CA 91335-2358 | |
| (818) 772-4222 | |
| (818) 772-1530 |
| Full Name | Rubtsov Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19301 Saticoy St Ste D, Reseda, California |
| Authorized Official Name and Position | Olga Rubtsova (SECRETARY) |
| Authorized Official Contact | 8187724222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubtsov Dds Inc 19301 Saticoy St Ste D Reseda CA 91335-2358 Ph: (818) 772-4222 | Rubtsov Dds Inc 19301 Saticoy St Ste D Reseda CA 91335-2358 Ph: (818) 772-4222 |
| NPI Number | 1730432105 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730432105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54436 (California) | Primary |
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