SearchMissouri207R00000X

Martina Kukolja

NPI 1326384454 · on the registry since 2012

Practice

Address
12647 Olive Blvd Ste 600
Saint Louis, MO 63141
Phone
(314) 744-4205
Organisation at this address
Connecticut Dental Professionals, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri