Individual
DR. MARK ANDREW KUZMA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 W MAIN ST, SUITE B, GLASGOW, KY 42141-1740
(270) 651-2638
Mailing address
501 W MAIN ST, SUITE B, GLASGOW, KY 42141-1740
(270) 651-2638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9763
DENTIST
KY
Enumeration date
06/08/2016
Last updated
06/08/2016
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