Provider Demographics
NPI:1689262602
Name:DRS. WANG, RUBINSTEIN AND ASSOCIATES PLLC
Entity Type:Organization
Organization Name:DRS. WANG, RUBINSTEIN AND ASSOCIATES PLLC
Other - Org Name:SEDA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-738-9007
Mailing Address - Street 1:10075 S JOG RD STE 301
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3537
Mailing Address - Country:US
Mailing Address - Phone:561-738-9007
Mailing Address - Fax:
Practice Address - Street 1:10075 S JOG RD STE 301
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3537
Practice Address - Country:US
Practice Address - Phone:561-738-9007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty