Individual
DR. MARK M KUBA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1724 NEBRASKA AVE, BLDG 1608, FORT LEONARD WOOD, MO 65473-8939
(573) 396-0408
(573) 596-0314
Mailing address
1724 NEBRASKA AVE, BLDG 1608, FORT LEONARD WOOD, MO 65473-8939
(573) 396-0408
(573) 596-0314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14225
MO
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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