Individual
DR. JUSTIN GLEN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 MAIN STREET, SUITE B, HULL, IA 51239-7336
(712) 439-2666
(712) 439-2599
Mailing address
807 MAIN STREET, SUITE B, HULL, IA 51239-7336
(712) 439-2666
(712) 439-2599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08204
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414706
—
IA
Enumeration date
01/24/2007
Last updated
07/08/2007
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