Provider Demographics
NPI:1558486423
Name:RUBINOFF, CRAIG HENRY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:HENRY
Last Name:RUBINOFF
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13035 POMERADO RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4247
Mailing Address - Country:US
Mailing Address - Phone:858-486-4867
Mailing Address - Fax:858-466-4866
Practice Address - Street 1:13035 POMERADO RD
Practice Address - Street 2:SUITE A
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4247
Practice Address - Country:US
Practice Address - Phone:858-486-4867
Practice Address - Fax:858-466-4866
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA353271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics