Kubiak, Ronald Richard
Kubiak, Ronald Richard is an individual health care provider with primary practice located at 8600 Bataan Memorial E , Las Cruces NM 88011-6016. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kubiak, Ronald Richard can be contacted via phone (505) 382-2112.Contact Information
Primary practice address
8600 Bataan Memorial E
Las Cruces NM 88011-6016
Phone: (505) 382-2112
Fax: (505) 382-5064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD2015 | New Mexico |
Profile Details
| NPI number | 1619973013 |
|---|---|
| LBN Legal business name | Kubiak, Ronald Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 26th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619973013 | NPPES |
| New Mexico | MEDICAID | 10878068 |
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