Individual
DR. KATHLEEN SUZETTE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6 TRIANGLE PARK DR, SUITE 603, CINCINNATI, OH 45246-3403
(513) 851-0044
(513) 851-9130
Mailing address
6 TRIANGLE PARK DR, SUITE 603, CINCINNATI, OH 45246-3403
(513) 851-0044
(513) 851-9130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229952
—
OH
Enumeration date
12/15/2009
Last updated
12/15/2009
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