Individual
DR. DELORES HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1784 WASHINGTON AVE, ATLANTA, GA 30344-4148
(404) 766-8559
(404) 766-7742
Mailing address
1784 WASHINGTON AVE, ATLANTA, GA 30344-4148
(404) 766-8559
(404) 766-7742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220712C
—
GA
Enumeration date
10/18/2006
Last updated
05/10/2012
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