DR. Bruce Chubak, DDS

NPI #1902979362 in Lawrence, New York

Provider Information

NPI Number: 1902979362
Entity Type: Individual
Name: DR. Bruce Chubak, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 15, 2006
Last Updated: Dec 11, 2011

Practice Location

Address: 77 WASHINGTON AVE
City: Lawrence
State: New York
ZIP Code: 11559-1803
Phone: (516) 374-1745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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