Individual
GARY R. HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3515 COOLIDGE RD, SUITE C, EAST LANSING, MI 48823-8014
(517) 332-2422
(517) 332-0810
Mailing address
3515 COOLIDGE RD, SUITE C, EAST LANSING, MI 48823-8014
(517) 332-2422
(517) 332-0810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11821
MI
Other
Enumeration date
05/31/2005
Last updated
08/26/2012
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