Provider Demographics
NPI:1083044804
Name:KUBIT, ARLENE RUTH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:RUTH
Last Name:KUBIT
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 1:3703 OLD FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1629
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:314-814-0016
Practice Address - Street 1:3703 OLD FRENCH RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1629
Practice Address - Country:US
Practice Address - Phone:814-825-7373
Practice Address - Fax:314-814-0016
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024928-L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics