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Individual
DR. MICHAELL ANDREW HUBER
Active
Individual
DR. MICHAELL ANDREW HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158314801
—
TX
01
—
88D007
BCBS
—
Enumeration date
10/12/2006
Last updated
06/17/2015
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