Individual
MACKENZIE HUBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
1207 CHESTNUT ST 4TH FL, PHILADELPHIA, PA 19107-4131
(215) 525-3046
(215) 567-1617
Mailing address
1233 LOCUST ST 3RD FL, PHILADELPHIA, PA 19107-5400
(215) 985-4448
(215) 985-4952
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH073165
PA
124Q00000X
Dental Hygienist
PHDH001162
PA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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