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Individual

DAVID PAUL LUBBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1739 MICHIGAN RD, MADISON, IN 47250-2721
(812) 273-6744
(812) 265-4025
Mailing address
1739 MICHIGAN RD, MADISON, IN 47250-2721
(812) 273-6744
(812) 265-4025

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3853
KY
1223P0221X
Pediatric Dentistry
Primary
8174
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200527470-A
IN
01
678416
UNITED CONCORDIA
Enumeration date
08/29/2006
Last updated
05/27/2008
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