Organization
KUBO ORTHODONTIC GROUP A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DOUGLAS KUBO D.D.S. (CFO)
(559) 438-7600
Entity
Organization
Contact information
Practice address
6315 N FRESNO ST, SUITE 101, FRESNO, CA 93710-5273
(559) 438-7600
Mailing address
6315 N FRESNO ST, SUITE 101, FRESNO, CA 93710-5273
(559) 438-7600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D33611
CA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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