Individual
DR. RICHARD M. LUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
929 W SUNSET BLVD, SAINT GEORGE, UT 84770
(515) 705-8358
Mailing address
929 W SUNSET BLVD, SAINT GEORGE, UT 84770-4865
(515) 705-8358
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10141315-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10141315-8903
PAHARMACY
UT
01
—
10141315-9921
DENTISTRY
UT
Enumeration date
01/06/2006
Last updated
06/07/2018
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