Individual
DR. DANIEL J HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4212 N 16TH ST, DENTAL, PHOENIX, AZ 85016-5319
(602) 263-1592
(602) 263-1608
Mailing address
40 N CENTRAL AVE STE 607, IHS/ OHP, PHOENIX, AZ 85004-4424
(602) 364-5190
(602) 364-5025
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DE00009166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415506
—
AZ
01
—
AZ0471490
BLUE CROSS
AZ
Enumeration date
07/25/2006
Last updated
07/09/2007
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