Individual
DR. NATHAN EDWARD KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(404) 791-5962
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(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
03/26/2026
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