DR. Shanice Shamela Kuloba, DDS

NPI #1144787367 in Elgin, Illinois

Provider Information

NPI Number: 1144787367
Entity Type: Individual
Name: DR. Shanice Shamela Kuloba, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 24, 2019
Last Updated: Mar 18, 2022

Practice Location

Address: 431 SUMMIT ST STE 105
City: Elgin
State: Illinois
ZIP Code: 60120-3861
Phone: (847) 780-9407

Specialties & Taxonomy Codes

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

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