ERIC JEFFREY KUBACKI

ALTON, IL
NPI1114702743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019033726)
Enumeration Date2023-08-30
Last Update Date2024-09-24
Business Address
Dr. ERIC JEFFREY KUBACKI DMD
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7000
Mailing Address
Dr. ERIC JEFFREY KUBACKI DMD
1214 OAKLEAF DR
SAINT LOUIS, MO 63119-1038
Phone number: 815-531-2746
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