Dr.jack Ruby Chartered

NPI #1750654281 in Oak Lawn, Illinois

Provider Information

NPI Number
1750654281
Entity Type
Organization
Organization Name
Dr.jack Ruby Chartered
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 14, 2012
Last Updated
Feb 14, 2012

Practice Location

Address
6735 W 95TH ST
ZIP Code
60453-2112
Phone
(708) 598-0717

Authorized Official

Name
DR. JACK W. RUBY, D.D.S
Title
OWNER
Phone
(708) 598-0717

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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