Provider Demographics
NPI:1033963285
Name:CUBA VALENCIA, FABIOLA ROSARIO (DMD)
Entity Type:Individual
Prefix:
First Name:FABIOLA
Middle Name:ROSARIO
Last Name:CUBA VALENCIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MONSEY RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4631
Mailing Address - Country:US
Mailing Address - Phone:732-619-4889
Mailing Address - Fax:
Practice Address - Street 1:4 MONSEY RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4631
Practice Address - Country:US
Practice Address - Phone:732-619-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program