Organization
DR WILLIAM R HUBBELL JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RUSSELL HUBBELL JR. DDS (CEO)
(810) 987-9666
Entity
Organization
Contact information
Practice address
1980 HOLLAND AVE, PORT HURON, MI 48060-1520
(810) 987-9666
(810) 987-6363
Mailing address
1980 HOLLAND AVE, PORT HURON, MI 48060-1520
(810) 987-9666
(810) 987-6363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011497
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901011497
MI
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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