Organization
GARY R HUBBARD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RUSSELL HUBBARD DDS (DENTIST)
(517) 332-2422
Entity
Organization
Contact information
Practice address
3515 COOLIDGE RD, SUITE C, EAST LANSING, MI 48823-8014
(517) 332-2422
(517) 332-0810
Mailing address
3515 COOLIDGE RD, SUITE C, EAST LANSING, MI 48823-8014
(517) 332-2422
(517) 332-0810
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
11821
MI
Other
Enumeration date
08/26/2012
Last updated
11/24/2012
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