Organization
BRIAN S. KUBO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SEIGO KUBO DDS (PRESIDENT)
(808) 885-8465
Entity
Organization
Contact information
Practice address
64-5191 KINOHOU ST, KAMUELA, HI 96743-8408
(808) 885-8465
(808) 885-8470
Mailing address
64-5191 KINOHOU ST, KAMUELA, HI 96743-8408
(808) 885-8465
(808) 885-8470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-1795
HI
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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