Provider Demographics
NPI:1720308141
Name:RUBLER, CONSTANCE G (DDS)
Entity type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:G
Last Name:RUBLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:5570 STERRETT PLACE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-997-0707
Mailing Address - Fax:410-997-2357
Practice Address - Street 1:5570 STERRETT PLACE
Practice Address - Street 2:SUITE 301
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-997-0707
Practice Address - Fax:410-997-2357
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD69921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics