Individual
MRS. JACQUELINE LEE HUBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6800 MAIN STREET, SUITE 315, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
4704 CHOKEBERRY DRIVE, NAPERVILLE, IL 60564
(630) 904-3198
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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