Provider Demographics
NPI:1568779387
Name:SARUBIN, MURRAY F (DDS)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:F
Last Name:SARUBIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 LORD BALTIMORE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2869
Mailing Address - Country:US
Mailing Address - Phone:410-594-9500
Mailing Address - Fax:410-594-9216
Practice Address - Street 1:3110 LORD BALTIMORE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2869
Practice Address - Country:US
Practice Address - Phone:410-594-9500
Practice Address - Fax:410-594-9216
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4212122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist