Organization
JOSHUA A. DUBOSE, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA A. DUBOSE D.M.D. (CEO)
(770) 267-6822
Entity
Organization
Contact information
Practice address
416 E SPRING ST, MONROE, GA 30655-2350
(770) 267-6822
(770) 267-0928
Mailing address
PO BOX 1214, MONROE, GA 30655-1214
(770) 267-6822
(770) 267-0928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716288876B
—
GA
Enumeration date
07/22/2010
Last updated
07/22/2010
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