| Edgardo S Rubio Dmd Corp | |
|
4131 Macdonald Ave Richmond CA 94805-2333 | |
| (510) 730-3949 | |
| (510) 609-4946 |
| Full Name | Edgardo S Rubio Dmd Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4131 Macdonald Ave, Richmond, California |
| Authorized Official Name and Position | Edgardo Sanchez Rubio (OWNER) |
| Authorized Official Contact | 5107303949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgardo S Rubio Dmd Corp 2442 Hilltop Mall Rd Richmond CA 94806-1928 Ph: (510) 730-3949 | Edgardo S Rubio Dmd Corp 4131 Macdonald Ave Richmond CA 94805-2333 Ph: (510) 730-3949 |
| NPI Number | 1134637499 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 04/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134637499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 61506 (California) | Primary |
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