Provider Demographics
NPI:1639155526
Name:RUBINO, GIACINTO FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:GIACINTO
Middle Name:FRANK
Last Name:RUBINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:F
Other - Last Name:RUBINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:446 C ST
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2608
Mailing Address - Country:US
Mailing Address - Phone:559-924-2520
Mailing Address - Fax:559-443-7262
Practice Address - Street 1:446 C ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2608
Practice Address - Country:US
Practice Address - Phone:559-924-2520
Practice Address - Fax:559-443-7262
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADE29441122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA149800577OtherAMERICAN DENTAL ASSOCIATION
CADE29441OtherDENTAL LICENSE
CADE29441OtherDENTAL LICENSE