Individual
MRS. MELISSA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14628 185TH ST, JIM FALLS, WI 54748-2345
(715) 271-2405
Mailing address
14628 185TH ST, JIM FALLS, WI 54748-2345
(715) 271-2405
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10996-16
WI
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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