Organization
WALTER J KUCABA, DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JOSEPH KUCABA DDS, MS (PRESIDENT)
(864) 585-0468
Entity
Organization
Contact information
Practice address
151 DILLON DR, SPARTANBURG, SC 29307-1017
(864) 585-0468
(864) 585-0469
Mailing address
151 DILLON DR, SPARTANBURG, SC 29307-1017
(864) 585-0468
(864) 585-0469
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
03/07/2011
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