Individual
DR. RODRIGUE DIKUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5505 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-1601
(505) 920-8275
Mailing address
PO BOX 4793, SANTA FE, NM 87502-4793
(505) 920-8275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2023-0094
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
07/11/2023
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