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Individual

DR. CATHERINE LOUISE KUBERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND/ATTN:MEDICALSTAFFSERVICES, JACKSONVILLE, FL 32212-0140
(510) 325-6677
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
60587
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60587
CA

Other

Enumeration date
09/13/2011
Last updated
11/07/2024
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