Individual
DR. JAMES CLINTON HUBRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 ELM AVE., MOOSE LAKE, MN 55767
(218) 485-4455
Mailing address
4105 COUNTY ROAD 8, PO BOX 775, MOOSE LAKE, MN 55767-8135
(218) 485-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8463
MN
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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