Individual
DR. NATHAN EDWARD KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2901 CASSIDY RD, FORT BLISS, TX 79916-3501
(404) 791-5962
Mailing address
BUILDING 2901 CASSIDY ROAD, FORT BLISS, TX 79916
(404) 791-5962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9936
TN
1223P0700X
Prosthodontics
Primary
34870
TX
Other
Enumeration date
07/31/2014
Last updated
07/24/2026
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