Individual
GABRIELLE KUBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
775 PEAVY RD, DALLAS, TX 75218-2175
(214) 697-4202
Mailing address
775 PEAVY RD, DALLAS, TX 75218-2175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36372
TX
122300000X
Dentist
DN25225
FL
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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