Organization
DR KRISTA L. KUKARANS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA LYNN KUKARANS DDS (PRESIDENT)
(563) 381-8734
Entity
Organization
Contact information
Practice address
2305 JERSEY RIDGE RD, DAVENPORT, IA 52803-2361
(563) 355-0258
Mailing address
2305 JERSEY RIDGE RD, DAVENPORT, IA 52803-2361
(563) 355-0258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08487
IA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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