Robert W. Koubsky, D.d.s.

NPI #1104198837 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1104198837
Entity Type: Organization
Organization Name: Robert W. Koubsky, D.d.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 3400 1ST ST N
Address 2: SUITE #102
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-4000
Phone: (320) 255-9048

Authorized Official

Name: DR. ROBERT WARREN KOUBSKY, D.D.S.
Title: OWNER/DENTIST
Phone: (320) 255-9048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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