Individual
DR. ROBERT J KUBASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 HARRIS AVENUE, WOONSOCKET, RI 02895-1818
(401) 762-0070
Mailing address
175 HARRIS AVENUE, WOONSOCKET, RI 02895-1818
(401) 762-0070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18933
MA
122300000X
Dentist
Primary
2072
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1379959
UNITED CONCORDIA
—
01
—
84121
BLUE CROSS DENTAL
RI
01
—
Z04702
MA BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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