Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS024928-L | PA |
NPI | 1083044804 |
---|---|
Provider Name | Dr. Arlene Ruth Kubit |
First Address | Erie, PA 16504-1629 |
Second Address | Erie, PA 16504-1629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2013 |
Last Update Date | 14/11/2013 |