Organization
ROBERT W. KOUBSKY, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WARREN KOUBSKY D.D.S. (OWNER/DENTIST)
(320) 255-9048
Entity
Organization
Contact information
Practice address
3400 1ST ST N, SUITE #102, SAINT CLOUD, MN 56303-4000
(320) 255-9048
(320) 251-4745
Mailing address
3400 1ST ST N, SUITE #102, SAINT CLOUD, MN 56303-4000
(320) 255-9048
(320) 251-4745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8778
MN
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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