Organization
JOHN G. HUBBARD, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GABRIEL HUBBARD DDS (OWNER)
(304) 587-4232
Entity
Organization
Contact information
Practice address
63 CARR ST, CLAY, WV 25043-9402
(304) 587-4232
(304) 587-2092
Mailing address
PO BOX 568, 63 CARR STREET, CLAY, WV 25043-0568
(304) 587-4232
(304) 587-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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