| Robert W. Koubsky, D.D.S. | |
|
3400 1st St N Suite #102 Saint Cloud MN 56303-4000 | |
| (320) 255-9048 | |
| (320) 251-4745 |
| Full Name | Robert W. Koubsky, D.D.S. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3400 1st St N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Robert Warren Koubsky (OWNER/DENTIST) |
| Authorized Official Contact | 3202559048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W. Koubsky, D.D.S. 3400 1st St N Suite #102 Saint Cloud MN 56303-4000 Ph: (320) 255-9048 | Robert W. Koubsky, D.D.S. 3400 1st St N Suite #102 Saint Cloud MN 56303-4000 Ph: (320) 255-9048 |
| NPI Number | 1104198837 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104198837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8778 (Minnesota) | Primary |
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