Rubal, Jodie Lee Marie

Rubal, Jodie Lee Marie is an individual health care provider with primary practice located at 209 W Main St , Azle TX 76020-3177. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rubal, Jodie Lee Marie can be contacted via phone (817) 444-2585.

Contact Information

Primary practice address
209 W Main St Azle TX 76020-3177
Fax: (817) 444-4254
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18887 Texas

Profile Details

NPI number 1164443891
LBN Legal business name Rubal, Jodie Lee Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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