Individual
ELIZABETH GRACE KUBILIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8310 PALOMAS AVE NE STE C, ALBUQUERQUE, NM 87109-5286
(505) 588-5330
Mailing address
1404 CHRISTY AVE, LOUISVILLE, KY 40204-2041
(571) 201-3983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2024-0146
NM
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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