Provider Demographics
NPI:1831278670
Name:RUBEN, JANET LYNN
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:RUBEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8337 E. EDWARD AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250
Mailing Address - Country:US
Mailing Address - Phone:480-636-1208
Mailing Address - Fax:
Practice Address - Street 1:3030 N. 67TH PLACE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AS
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-949-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist