Individual
JOSHUA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 BROAD ST, SUMTER, SC 29150-1902
(803) 883-0160
Mailing address
1121 BROAD ST, SUMTER, SC 29150-1902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.8743 GD
SC
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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