Individual
SARA J KUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
2346 MANAKIN RD, MANAKIN SABOT, VA 23103-2108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417455
VA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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