Individual
MAKALA BANNISTER HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8158 E 5TH AVE, SUITE 150, DENVER, CO 80230-6444
(303) 316-0701
Mailing address
8158 E 5TH AVE, SUITE 150, DENVER, CO 80230-6444
(303) 316-0701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8866
CO
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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