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General NPI Number Information
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NPI Number | 1871614974
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Entity Type | Organization
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Legal Business Name | FRANCIS J KUBIK III DDS PC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD SUITE 400
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3729
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Country | US
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Telephone | 314-361-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 LINDELL BLVD SUITE 400
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3729
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Country | US
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Telephone | 314-361-7700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCIS J KUBIK
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Credential | DDS
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Telephone | 314-361-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13490
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License Number State | MO
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