Provider Demographics
NPI:1053734939
Name:KBA ASSOCIATES INC
Entity type:Organization
Organization Name:KBA ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALESPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-449-1053
Mailing Address - Street 1:4704 AIRLINE DR STE A1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-3004
Mailing Address - Country:US
Mailing Address - Phone:713-695-3400
Mailing Address - Fax:713-695-3402
Practice Address - Street 1:4704 AIRLINE DR STE A1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-3004
Practice Address - Country:US
Practice Address - Phone:713-695-3400
Practice Address - Fax:713-695-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25292122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty