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General NPI Number Information
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NPI Number | 1164516902
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Entity Type | Individual
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Provider Name | REENA KUBA DDS,MS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2921 N HERITAGE PARKWAY STE 100
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City | SHERMAN
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State | TX
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Zip | 75092
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Country | US
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Telephone | 903-892-1200
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Fax | 903-813-1581
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Provider Business Mailing Address
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Address Line | 8870 N MACARTHUR BLVD STE 101A
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City | IRVING
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State | TX
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Zip | 75063-7833
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Country | US
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Telephone | 214-484-3199
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Fax | 214-484-3218
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21765
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License Number State | TX
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