Individual
BONVENTURE KULOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4530 BALMORAL DR, PENSACOLA, FL 32504-9103
(850) 748-4428
Mailing address
4530 BALMORAL DR, PENSACOLA, FL 32504-9103
(850) 748-4428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34603
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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