Individual
KOZUE KAWAKUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15250
MD
1223P0221X
Pediatric Dentistry
Primary
DE60587893
WA
Other
Enumeration date
12/21/2009
Last updated
07/16/2021
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