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MRS. RHODA P KUBLICKIS MHS, CRDH, FAADH
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1124641337
Individual Registrant:MRS. RHODA P KUBLICKIS MHS, CRDH, FAADH
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
274 TROPIC DR LAUDERDALE BY THE SEA, FL 33308-5428 US
Tel: 954-829-4260 Fax: --
Tel: 954-829-4260 Fax: --
Contact information for business:
274 TROPIC DR LAUDERDALE BY THE SEA, FL 33308-5428 US
Tel: 954-829-4260 Fax: --
Tel: 954-829-4260 Fax: --
Registration Information:
NPI: 1124641337
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 124Q00000X | Dental Providers Dental Hygienist | CO | 902872 |
| N | 124Q00000X | Dental Providers Dental Hygienist | NJ | 22HI00397500 |
| Y | 124Q00000X | Dental Providers Dental Hygienist | FL | 7119 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
