Individual
DR. RONALD RICHARD KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8600 BATAAN MEMORIAL E, LAS CRUCES, NM 88011-6016
(505) 382-2112
(505) 382-5064
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2015
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10878068
—
NM
Enumeration date
06/22/2005
Last updated
02/26/2016
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