Individual provider · Type 1 NPI

Jodie Lee Marie Rubal, DDS

General Practice Dentistry · Azle, TX

NPI number 1164443891 Active

About NPI 1164443891

Jodie Lee Marie Rubal, DDS's National Provider Identifier is 1164443891, issued on Jul 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Azle, TX. The record was last updated on Jul 8, 2007.