Kozue Kawakubo D.M.D.

NPI 1780913764 - Dentist - 122300000X

NPI Details
NPI 1780913764
Gender Female
Enumeration Date 12/21/2009
Last Updated 11/11/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
22 95TH DR NE
LAKE STEVENS WA, 98258-7975, US
Phone (425) 512-9887
Fax
Business Location
22 95TH DR NE
LAKE STEVENS WA, 98258-7975, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Maryland
License Number 15250
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According to our database, Kozue Kawakubo D.M.D. NPI is 1780913764, taxonomy code is 122300000X and license number is 15250, license state is located at Maryland. Kozue Kawakubo D.M.D. physically located at 22 95th Dr Ne, Lake Stevens WA, 98258-7975. NPI Number Kozue Kawakubo D.M.D. has the Individual type.

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1780913764 NPI number is provided on an as is basis without warranty of any kind. 1780913764 is maintained by the National Plan & Provider Enumeration System. The contents of Kozue Kawakubo D.M.D. are for informational purposes only.