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Individual
DR. RICHARD M. LUBOW
Active
Individual
DR. RICHARD M. LUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10141315-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10141315-8903
PAHARMACY
UT
01
—
10141315-9921
DENTISTRY
UT
Enumeration date
01/06/2006
Last updated
06/07/2018
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