DR. Jodie Lee Marie Rubal, DDS

NPI #1164443891 in Azle, Texas

Provider Information

NPI Number: 1164443891
Entity Type: Individual
Name: DR. Jodie Lee Marie Rubal, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 209 W MAIN ST
City: Azle
State: Texas
ZIP Code: 76020-3177
Phone: (817) 444-2585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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