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Individual

DR. PAUL M KOTUBY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
15 GOODING AVENUE, SUITE 1, BRISTOL, RI 02809-2600
(401) 253-3781
(401) 253-9324
Mailing address
15 GOODING AVENUE, SUITE 1, BRISTOL, RI 02809-2600
(401) 253-3781
(401) 253-9324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN01874
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BD-24695
RI
Enumeration date
12/11/2009
Last updated
12/11/2009
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