Individual
DR. GARY RAYMOND HUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
810 36TH ST, BOULDER, CO 80303-2440
(303) 817-8640
Mailing address
810 36TH ST, BOULDER, CO 80303-2440
(303) 817-8640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO HD 4447
CO
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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