Provider Demographics
NPI:1306481072
Name:RUBY DENTAL GROUP PLLC
Entity type:Organization
Organization Name:RUBY DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-288-2858
Mailing Address - Street 1:9606 SLOWAY COAST DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2785
Mailing Address - Country:US
Mailing Address - Phone:202-288-2858
Mailing Address - Fax:
Practice Address - Street 1:4400 JENIFER ST NW STE 335
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2086
Practice Address - Country:US
Practice Address - Phone:202-362-7413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUBY DENTAL GROUP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty