Individual
BRUNO KULOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1236 SANDBROOK DR, ORLANDO, FL 32824-5207
(850) 449-6154
Mailing address
1236 SANDBROOK DR, ORLANDO, FL 32824-5207
(850) 449-6154
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN21650
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2015
Last updated
10/09/2023
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