Individual
DR. MATTHEW PERRY KUBOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4949 WESTOWN PKWY, SUITE 150, WEST DES MOINES, IA 50266-6702
(515) 225-0066
(515) 226-0998
Mailing address
4949 WESTOWN PKWY, SUITE 150, WEST DES MOINES, IA 50266-6702
(515) 225-0066
(515) 226-0998
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08110
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291575
—
IA
01
—
1745344
CONCORDIA
IA
01
—
35184
BC/BS
IA
01
—
8110
DELTA DENTAL
IA
Enumeration date
03/14/2006
Last updated
11/30/2010
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