| NPI | 1134637499 |
|---|---|
| Former Legal Business Name | DR. EDGARDO S RUBIO DMD CORP |
| Entity Type | Organization |
| Authorized Contact | EDGARDO SANCHEZ RUBIO Owner 510-730-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 61506) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2019-04-19 |