Individual
DR. NATHAN ELMER KOBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1562 MITSCHER AVE STE 250, NORFOLK, VA 23551-5456
(757) 836-5929
Mailing address
188 E 2050 S APT B4, BOUNTIFUL, UT 84010-5456
(406) 672-4529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11837216-9922
UT
Other
Enumeration date
07/21/2020
Last updated
05/25/2021
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