Individual
DR. MARYCLARE KUBASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
125 GREENTREE DR STE 2, DOVER, DE 19904-7656
(302) 526-1710
Mailing address
125 GREENTREE DR STE 2, DOVER, DE 19904-7656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001302
DE
390200000X
Student in an Organized Health Care Education/Training Program
G3-0000372
DE
Other
Enumeration date
06/05/2010
Last updated
12/15/2020
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