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1700901196
JACK W RUBY
OAK LAWN, IL
NPI
1700901196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IL 19A13445)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
DR. JACK W RUBY DDS
6735 W 95TH ST
OAK LAWN, IL 60453-2112
Phone number: 708-598-0717
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Mailing Address
DR. JACK W RUBY DDS
6735 W 95TH ST
OAK LAWN, IL 60453-2112
Phone number: 708-598-0717
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DR.JACK RUBY CHARTERED