| NPI | 1205182276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RUBIN President 239-370-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN12852) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2025-09-25 |