Provider Demographics
NPI:1881704666
Name:RUBINSTEIN, MARC NEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:NEIL
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19201 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:SUITE A24
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5027
Mailing Address - Country:US
Mailing Address - Phone:301-963-3333
Mailing Address - Fax:301-556-0151
Practice Address - Street 1:19201 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:SUITE A24
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5027
Practice Address - Country:US
Practice Address - Phone:301-963-3333
Practice Address - Fax:301-556-0151
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice