Most Relevant Information
Provider Data
| NPI Number: | 1003820671 |
| Provider Name: | MITCHELL MYLES RUBIN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 035166 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
24 MAPLE AVE
SUITE 6
ROCKVILLE CENTRE
NY
11570
Practice Location Phone/Fax
| Phone: | 5167660580 |
| Fax: | 5167666755 |
Provider Mailing Location
24 MAPLE AVE
SUITE 6
ROCKVILLE CENTRE
NY
11570
Provider Mailing Phone/Fax
| Phone: | 5167660580 |
| Fax: | 5167666755 |