Individual
DR. LOUIS REMBERT KUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
US DENTAL ACTIVITY, BLDG 171 4TH INNER LOOP RD, FORT IRWIN, CA 92310-1507
(760) 380-3166
(760) 380-4996
Mailing address
3955 DRINKWATER STREET, FORT IRWIN, CA 92310-1507
(904) 349-2057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3696
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3696
SC
Other
Enumeration date
01/23/2006
Last updated
03/07/2023
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