Carrie Kubota, O.D

NPI 1356577217 · on the registry since 2009 · sole proprietor

Practice

Address: 1197 E Los Angeles Ave Ste D
Simi Valley, CA 93065
Phone: (805) 577-9177
Fax: (805) 577-8220
Organisation at this address: Setarehshenas Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-06-05

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 California