Individual
MRS. RHODA P KUBLICKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CRDH, FAADH
Contact information
Practice address
274 TROPIC DR, LAUDERDALE BY THE SEA, FL 33308-5428
(954) 829-4260
Mailing address
274 TROPIC DR, LAUDERDALE BY THE SEA, FL 33308-5428
(954) 829-4260
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
22HI00397500
NJ
124Q00000X
Dental Hygienist
Primary
7119
FL
124Q00000X
Dental Hygienist
902872
CO
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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