Provider Demographics
NPI:1063852325
Name:ATICI, KUBRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KUBRA
Middle Name:
Last Name:ATICI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KUBRA
Other - Middle Name:
Other - Last Name:ATICI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1608 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3908
Mailing Address - Country:US
Mailing Address - Phone:847-545-8458
Mailing Address - Fax:847-860-7211
Practice Address - Street 1:1608 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3908
Practice Address - Country:US
Practice Address - Phone:847-545-8458
Practice Address - Fax:847-860-7211
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0294491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice