Organization
DELORES HUBBARD D D S L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELORES HUBABRD (OWNER/DENTIST)
(404) 766-8559
Entity
Organization
Contact information
Practice address
1784 WASHINGTON AVE, EAST POINT, GA 30344-4148
(404) 766-8559
(404) 766-7742
Mailing address
1784 WASHINGTON AVE, EAST POINT, GA 30344-4148
(404) 766-8559
(404) 766-7742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220712C
—
GA
Enumeration date
04/14/2008
Last updated
04/14/2008
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