Individual
PATRICIA KUBISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
Mailing address
115 ELK AVE., SUITE C, CRESTED BUTTE, CO 81224-1442
(970) 275-5000
(970) 349-0903
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
903880
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRISHKUBY
CHP PLUS
CO
05
—
TRISHKUBY
—
CO
Enumeration date
01/13/2011
Last updated
03/28/2018
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