Provider Demographics
NPI:1780804252
Name:CRAIG H. RUBINOFF, DDS, MS, APC
Entity type:Organization
Organization Name:CRAIG H. RUBINOFF, DDS, MS, APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:H
Authorized Official - Last Name:RUBINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:858-486-4867
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA353271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty