NPI 1013118124

Michio Kubota D.D.S. INC.

Organisation General Practice Dentistry Gilbert, AZ

Practice location

Address: 694 S Cooper Rd Suite #a-2, Gilbert, AZ 85233-7165
Phone: (480) 632-2255
Fax: (480) 632-7846

Authorised official

Name: Michio Kubota
Title: Dentist
Phone: (480) 632-2255

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D4417 (AZ)

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Registry record

NPI: 1013118124
Entity type: Organization
NPI issued: 29 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.