Provider Demographics
NPI:1417158635
Name:ZAINAB ALI RUBAIE DDS INC
Entity Type:Organization
Organization Name:ZAINAB ALI RUBAIE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAINAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI RUBAIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-312-0500
Mailing Address - Street 1:4203 GAGE AVE.
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201
Mailing Address - Country:US
Mailing Address - Phone:323-312-0500
Mailing Address - Fax:323-771-2511
Practice Address - Street 1:4203 GAGE AVE.
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201
Practice Address - Country:US
Practice Address - Phone:323-312-0500
Practice Address - Fax:323-771-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty